HIM Medical Transcriptionist-State Hospital
Job description
Responsible for processing dictated assessments and notes from members of the medical/psychiatric staff via digitally recorded dictation. Sorts and files copies of transcribed assessments within active patient records. Will ensure that no information, facts, or comments learned in the performance of duty are discussed in order to protect the confidentiality of the patients served and/or Rio Grande State Center. Will perform other HIM duties as assigned.
Individual must be available to work hours other than 8:00 - 5:00 pm. Must participate with weekend and holidays rotation. Will be under direct supervision by the MH HIM Supervisor.
Compliance with HHS Immunization Policy required: serologic evidence of immunity to, or documented evidence of vaccination against, measles, mumps, rubella, varicella (chickenpox), Tdap, annual vaccination against influenza (and hepatitis B if applicable).
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Shall transcribe/enter into CWS all MD History and Physicals, Psychiatric Evaluations, AIMS Assessments, Mental Status Assessments, MD Progress Notes, MD Discharge Order Notes, in accordance with policy and procedures. Will also be responsible for ensuring the editing and proof-reading of all transcribed reports/CWS entries before printing or filing in the patient records.
Will maintain a current, complete and accurate log of all completed reports entered into the patient record.
Will monitor Concurrent Audit Reports to ensure all assessments are completed and finalized within the specified timeframes. Will also provide a copy of such reports to physicians with assessments pending authentication.
Will file printed transcribed assessments in the patient records.
Will make contact with physicians to ensure timely completion and finalization of their dictated
assessments/reports. Contact will be conducted via email, in person or via telephone.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Skills:
Excellent verbal and written communication skills.
Excellent organization and time management skills.
Must be detail oriented and ensure the quality and accuracy of patient records by following state hospital and department policies.
Knowledge:
Knowledge in the review and spelling of medical terminology
Knowledge in the use of computer programs such as Microsoft Outlook, Word and Excel.
Knowledge with federal and state guidelines governing the use and disclosure of protected health information.
Knowledge in the use of electronic medical records
Abilities:
Must be able to work independently and productively with staff and external contacts.
Must be able to be a team player.
Must be able to provide excellent customer service.
Must be willing to cross-train in other areas of the HIM Department.
Must be able to ensure that no information, facts, or comments learned in the performance of duty are discussed in order to protect the confidentiality of the patients served and/or Rio Grande State Center.
Able to type at least 40 words per minute.
Able to transcribe physician dictation with minimal error.
N/A
Must be a graduate from a standard senior high school. Must be a graduate of an accredited Medical Information Specialist / Medical Office certification program or Health Information Technology program.
Must have a minimum of one year medical records department, medical office or medical unit clerk work related experience. Experience and education may be substituted.
Must have knowledge of medical terminology and score a minimum of 80% on medical terminology skills test.
Must have experience in the use of electronic health records, preferably Avatar CWS or Practice Partner.
Must be skilled in the use of Microsoft Office applications to include Word, Excel and Outlook.
Must be able to type a minimum of 40 wpm.
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities.
All new hire candidates will be required to receive COVID-19 medical screening (nasal test) as part of the due diligence process.
COVID-19 Precaution(s):
Personal protective equipment required and provided
Temperature screenings
Social distancing guidelines in place
Sanitizing, disinfecting, or cleaning procedures in place
Vaccines available for employees
Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted minimum of the salary range.
According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
This position requires excellent verbal and written communication skills. Employee must have strong data entry skills. Employee must be able to work independently and productively with all levels of staff. Employee must have excellent organization and time management skills. Must be able to apply attention to detail to ensure accuracy. Has knowledge of medical office/hospital terminology. Knowledge in the use and maintenance of databases. Ability to cross train in various areas of the health information management department. Must be able to protect the confidentiality and privacy of the clients and patients served by ensuring that no information, facts, or comments learned in the performance of duty are discussed.
Requisition#540359
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 42A, YN, 0111, 3A1X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
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HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
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