Health Information Assistant
Position Summary
Under the direction of the Health Information Manager, the Health Information Assistant (HIA) is responsible for monitoring and completing medical records for every resident in a way that maintains the integrity of the health information system and ensures their accuracy, organization and accessibility. The HIA also performs nursing station administrative functions that improve the delivery of care to residents.
Essential Responsibilities And Duties
RECORDS MANAGEMENT
Admission
• Coordinate the admission process, ensuring it is comprehensive and resident-centered
• Initiate the inpatient medical record and in-house overflow file, prepares labels, etc.
• Complete admissions checklists; inputs admission data into system During Resident’s Stay
• Thin in-house records in accordance with the written policy/procedure and file in chart order for discharge in in-house overflow file
• Maintains in-house chart appearance and organization
• Maintains monitoring system to ensure phone order and other information is signed or returned by physician and other professionals in a timely manner
• Files incoming clinical information in the in-house records daily
• Monitor timeliness of physician visits in conjunction with HIM; pull charts for physician rounds and transcribe new orders, if applicable
• Track and schedule routine labs
• Schedule resident appointments and arrange transportation
• Transcribe vitals, input/output information, per system
• Prepare paperwork for transfer or referrals
• Transcribes physician or NP orders obtained from clinical staff; signed off by clinical staff Discharge
• Prepare paperwork for discharge and transfers
• Assemble record from the nursing station and overflow file in established discharge order
NURSING STATION
• Answers phones
• Maintains an organized nursing station
• Maintains supply of all forms and clerical supplies
• Maintains station lists
• Completes filing
• Assist family, visitors as needed and appropriate
Qualifications
Education and Experience
• High School graduate or equivalent
• Knowledge of medical terminology
• Long-term care or healthcare experience
Preferred
• Previous experience as a health office secretary; training in medical records; experience with coding
• Knowledge of regulations, documentation requirements and legal issues
• Previous experience transcribing physician orders; knowledge of medications and medical terminology
Required Skills And Abilities
• Empathy for elderly with ability to be sensitive to resident and family needs
• Resilience; ability to provide/receive constructive feedback, course correct and not take it personally
• Motivator; ability to ensure staff feel supported while ensuring accountability to work expectations
• Personability; ability to get along with all personality types and inspire trust with residents, staff, family and the community
• High emotional intelligence (EQ)
• Ability to actively listen, with the goal of understanding
• Ability to clearly speak and proficiently read and write in English
PHYSICAL DEMANDS
The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.
Rarely = not a regular part of this job Occasionally = less than 1/3 of a shift Frequently = 1/3 to 2/3 of a shift Constantly = more than 2/3 of a shift
= an essential part of the job regardless of frequency or duration
Physical Activity
• Lifting Weight / Exerting Force: Rarely is needed throughout the day to lift or exert force up to 20 lbs; (box of printer paper)
• Standing and Walking: Rarely is needed to stand throughout the day
Sitting: Constantly sits throughout the day
Using Hands: Constantly uses hands throughout the day
Reaching: Frequently reaches throughout the day
• Climbing and/or Balancing: Rarely to never needs to climb or balance
• Stoop, Kneel, Crouch, Crawl: Rarely needs to stoop, kneel, crouch or crawl
Talking: Frequently needs ability to talk throughout the day
Hearing: Constantly needs to hear and listen throughout the day
Vision
This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus
About Monarch
Monarch’s mission is to change the way short term rehabilitation and long-term care is delivered. We strive to make patient care and customer service come together, putting the needs of our residents and their families first. We fulfill the communities need for health and housing, in a comfortable well equipped, pleasant home like atmosphere.
We could not provide this caliber of services without our dedicated employees. We value their contributions and work hard to attract and retain the best talent by offering a positive and supportive work environment along with competitive pay, nice perks, and great benefits.
We are an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Hospitals and Health Care
Health Care Provider
Part-time