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 confidentiaity 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 on 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 on 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.
MINIMUM QUALIFICATIONS REQUIRED KNOWLEDGE, SKILL AND ABILITY:
Considerable knowledge of relevant agency policies and procedures; considerable knowledge of relevant state and federal laws, statutes and regulations; considerable knowledge of principles and practices of modern medical records administration; considerable knowledge of Joint Commission on Accreditation of Healthcare Organizations medical records standards; considerable knowledge of medical record terminology with particular emphasis on International Classification of Disease Adopted procedures (ICD), Diagnostic Statistical Manual (DSM) and Current Procedure Terminology (CPM); considerable knowledge of medical record coding principles and techniques; considerable knowledge of organization of medical institutions; knowledge of principles of statistical data tabulation and analysis; considerable interpersonal skills; considerable oral and written communication skills; supervisory ability.
EXPERIENCE AND TRAINING:
General Experience:
Seven (7) years of experience in the maintenance of medical records and preparation of statistical reports.
Special Experience:
1.
Two (2) years of the General Experience must have been at the level of a Medical Records Specialist 2 or its equivalent.
2.
Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) will be required at the time of appointment to this class in accordance with the Accreditation Manual for Hospitals and the Joint Commission on Accreditation of Healthcare Organizations.
Substitution 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.
Note:
Non-Examined refers to Section 5-219 of the Connecticut General Statutes which permits appointment of candidates to competitive positions without formal examination when a professional license, professional degree, accreditation or certificate is a mandatory requirement for appointment to a class.
This replaces the existing specification for the same class in Salary Group AR 22 approved effective August 29, 2006. (Revised to implement Administrative and Residual Stipulated Agreement Compensation)
