PURPOSE OF JOB CLASS (NATURE OF WORK)
In a state medical institution or facility this class is accountable for supervising the administration and maintenance of all medical records and supervision of Medical Records Specialists and other clerical support staff engaged in the quality assurance and technical review of medical records.
SUPERVISION RECEIVED
Receives general direction from a medical or administrative official or other employee of higher grade.
SUPERVISION EXERCISED
Supervises Medical Records Specialists, clerical staff and other staff as assigned.
EXAMPLES OF DUTIES
- Schedules, assigns, oversees and reviews work of staff;
- Provides technical training and assistance in medical records procedures to subordinates and other hospital personnel;
- Conducts performance evaluations;
- Determines priorities and plans unit work;
- Establishes and maintains unit procedures;
- Develops or makes recommendations on development of policies and standards;
- Designs and supervises health care information systems monitored by comprehensive statistical reports, detailed medical record form design and thorough medical record quality control checks;
- Ensures compliance with Joint Commission on Accreditation of Healthcare Organizations (JACHO) standards;
- Responds to court subpoenas and inquires for medical record information in accordance with state and federal confidentiality regulations and Joint Commission on Accreditation of Healthcare organizations standards, Medicare and/or Medicaid regulations, Public Health Code standards and other governing bodies which might impact federal funding;
- Interprets and administers pertinent laws;
- Prepares or assists in budget preparation;
- Maintains professional contacts with individuals both within and outside of state who might impact record keeping activities;
- Serves in a consultative role to medical professionals on proper methods of medical documentation;
- Maintains various records and indices;
- May supervise mircofilming or medical records;
- Performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
- Considerable knowledge of
- relevant agency policies and procedures;
- relevant state and federal laws, statutes and regulations;
- principles and practices of modern medical records administration;
- Joint Commission on Accreditation of Healthcare Organizations medical records standards;
- medical record terminology with particular emphasis on International Classification of Disease (ICD) adopted procedures, Diagnostic Statistical Manual (DSM) and Current Procedure Terminology (CPM);
- medical record coding principles and techniques;
- organization of medical institutions;
- Knowledge of principles of statistical data tabulation and analysis;
- Considerable
- interpersonal skills;
- oral and written communication skills;
- Supervisory ability.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Seven (7) years of experience in the maintenance of medical records and preparation of statistical reports.
MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE
- Two (2) years of the General Experience must have been at the level of a Medical Records Specialist 2 or its equivalent.
- Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) may be required at the time of appointment to this class in accordance with the Comprehensive Accreditation Manual for Hospitals (CAMH) and the Joint Commission.
MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED
College training in medical record administration may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
JOB CLASS DESIGNATION
Classified/Competitive
OCCUPATIONAL GROUP
(05)-Clerical/Secretarial
BARGAINING UNIT
(16)-ADMIN & RESID (P-5)
EEO
(2)-Professional
SALARY INFORMATION
AR 23
ACKNOWLEDGEMENT
As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.
CANCELLATION CLAUSE
This replaces the existing specification for the class of Medical Records Supervisor 1 in Salary Group AR 23 approved effective February 16, 2021. (Reviewed in accordance with Connecticut General Statute § 5-200a. Revised to modernize format and add Acknowledgement section.) Final No. 24-222
EFFECTIVE DATE
10/21/2024
CLASS: 5625AR;
EST: 5/18/1979;
REV: 10/22/2024;