Health Information Administrator (#RH0131)
$52.25-$63.52 Hourly / $9,057.42-$11,009.35 Monthly / $108,689.04-$132,112.20 Yearly

Under general direction, administers the Medical Records Department of San Joaquin General Hospital; and does related or other work as required in accordance with Rule 3, Section 3 of the Civil Service Rules.

An incumbent of this class directs the Hospital's health care records program, assuring that accreditation needs and administrative goals are met and that medical, legal and ethical standards are upheld.

• Manages the operations of the inpatient and outpatient treatment records system, the medical transcription/dictation system, and the patient benefits claims system; assures through supervisory staff that appropriate records and forms are completed and recorded and that deadlines are met; implements appropriate medical records information systems and controls based on regulatory and professional standards.
• Confers with other Hospital staff members to assure standardization of medical treatment data in compliance with required regulations and guidelines for accreditation and licensing; maintains the coding and classification system for statistical collection, reimbursement and other activities.
• Participates in the development and implementation of policies and procedures; develops qualitative and quantitative analysis programs to assure that Department activities comply with federal, state, local and internal utilization review and quality standards; works with outside auditors, Medicaid, Medicare and other regulatory agencies to establish compliance; maintains required documentation.
• Analyzes and develops improved methods of filing, retrieving and storing records consistent with developments in the field of medical records systems; maintains an accurate inventory of charts; performs quality control and improvement activities to assure that charts are correct and have required documentation; assures that filing is timely.
• Supervises and participates in developing and maintaining the data collection system as applied to the business, vital statistics, insurance and research operations; provides periodic and special reports as required for medical research, quality improvement, credentialing of physicians and other Hospital activities.
• Acts as the official custodian of records and medical information to other outside agents, agencies and court systems; maintains the security of records on site; controls and monitors the release of medical record information, both internally and externally, protecting confidentiality and privacy as required by law and policy.
• Interviews, selects, and supervises subordinate personnel; evaluates work performance; provides training to Department and other Hospital staff.
• Participates in medical staff committee meetings, conferences and court appearances as required.
• Prepares the Department budget; authorizes expenditures consistent with Hospital policy.

The practical application of procedures and policies regarding medical records; medical terminology and International Classification of Diseases and Operations; federal, state, and local laws and regulations regarding medical records reporting requirements and health information protection; current technology and equipment utilization involving data collection, storage and retrieval.

Manage the operation of medical records maintenance on a timely basis; establish procedures to generate and develop data for complex reports of both quantitative and qualitative nature; plan, assign and supervise specialized and routine work; prepare correspondence and reports; prepare and control departmental budget; establish and maintain effective working relationships with administrative, professional, medical and other staff members.

Mobility-Frequent operation of computers; repetitive motion; sitting for extended periods; walking; occasional driving may be required; Lifting-Frequently 5 pounds or less; occasionally 5 to 30 pounds; Vision-Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Dexterity-Normal dexterity with frequent writing and repetitive motions; Hearing/Talking-Frequent hearing and talking on the telephone and in person; Emotional/Psychological-Frequent decision making, concentration and public contact; occasional exposure to grief; Special Requirements-Some assignments may require working weekends and/or occasional nights.