Medical Records Specialist

Medical Record SpecialistSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.Work Shifts: 8:00 A.M – 4:00 P.MDuties & Responsibilities: Under general supervision, is in charge of a section of the medical record department in a health care setting. Ensures optimal utilization of resources and services and compliance with all applicable local, state, and federal rules and regulations and NYC Health + Hospitals standards of care to improve outcomes through coding and reporting; performs related work. Essential Duties and Responsibilities: 1. Supervises medical record specialists and other professional administrative staff. 2. Plans, assigns and reviews the work of medical records personnel. 3. Coordinates the work of the section of the medical record department with other units of the department and/or health care setting. 4. Provides technical advice on record systems and the use of current nomenclature and established indices. 5. Coordinates the instruction of physicians, nurses and other health care personnel in chart documentation requirements. 6. May code clinical records according to current classification of diseases and operations; may analyze clinical records for completeness and accuracy. 7. Prepares periodic reports, statistical abstracts and other records and summaries. 8. Coordinates comparative studies by health care setting and services within health care settings and by diseases and operations. 9. Assists the medical staff in selecting and collating records for medical research. Answers inquiries for information in medical record, in accordance with established policy and legal requirements. 10. May perform comparative studies for data quality. 11. Analyzes reports to improve medical record data quality and reliability. 12. Assists in the performance of functions relating to the filing, retrieval, monitoring, securing and photocopying of medical records identified in litigation proceedings, in accordance with established policies and procedures.Minimum Qualifications: 1. Bachelor's degree from an accredited college or university in a health information administration (HIA) or health information technology (HIT) program approved by a nationally accredited agency (e.g., the American Health Information Management Association (AHIMA) or the Commission on Accreditation for Health Informatics and Information Education (CAHIIM)); and six (6) months of experience in coding and/or abstracting medical records in a health care setting; or 2. High school diploma or its educational equivalent, approved by a State's Department of Education or a recognized accrediting organization; and a. Completion of a coding, medical record technology or health information technology (HIT) program approved by a nationally accredited agency (e.g., AHIMA or CAHIIM); and one (1) year of experience in coding and/or abstracting medical records in a health care setting; or b. Certified Coding Specialist (CCS) by AHIMA, Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Certified Medical Billing Specialist (CMBS) by the Medical Association of Billers (MAB); and one (1) year of experience in coding and/or abstracting medical records in a health care setting; or c. Three (3) years of satisfactory experience in coding and/or abstracting medical records in a health care setting.Department Preferences: EPIC 3M360 AHIMA Coding Guidelines Inpatient Experience PreferredBenefits: NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs