Posting number: 2027-00111
Department: Human Services - Community Treatment Center
Job classification: OC-Health Information Technician
Posting type: Open & Promotional
Categories: Health Services, Medical Billing & Coding, Health Care Support, Office and Administrative Support
Transcribes dictation by physicians and other healthcare professionals in order to document client/resident care and facilitate delivery of healthcare services. Performs final chart analysis for medical record completion.
Transcribes medical/psychiatric dictation accurately and efficiently for Health & Human Services/Community Treatment Center to provide a permanent record of client/resident care.
Demonstrates an understanding of the medico-legal implications and responsibilities related to the transcription of client/resident records to protect the client/resident and Brown County Community Treatment Center.
Communicate effectively with providers and staff responsible for dictation and medical record completion.
Distributes copies of transcribed reports as applicable.
Assists with performing final chart analysis prior to filing/electronic finalizing medical records. This is a comprehensive analysis of the content of the medical record. Prepares chart deficiency slips and routes to providers for dictation and signatures.
Scans or imports paper medical records into the electronic health record.
Assists with other HIM/clerical duties as needed.
Follows policies and procedures to contribute to the efficiency of the Health Information ManagementDepartment, especially in the transcription area.
Understands and applies confidentiality standards.
Completes and maintains necessary documentation according to applicable requirements and policies.
Previous medical transcription experience and knowledge of medical/psychiatric terminology. High School Diploma including or supplemented by a course in word processing/typing; or any equivalent combination of education, training and experience which provides the necessary knowledge, skills and abilities.
Knowledge of general office procedures.
Knowledge of English, grammar, spelling, punctuation and style.
Knowledge of medical terminology, psychiatric terminology, anatomy and physiology and pharmacology.
Knowledge of and ability to utilize a computer and the required software.
Skill in transcribing complex material and understanding diverse accents and dialects and varying dictation styles.
Ability to train new employees.
Ability to type at a minimum rate of 60 net words per minute.
Ability to transcribe information from dictating and transcribing equipment.
Ability to learn and apply the specialized knowledge and terminology of the Health Information Management Department and to use designed reference materials.
Ability to follow oral and written instructions; excellent listening skills.
Ability to communicate effectively both orally and in written.
Ability to accept responsibility.
Ability to establish and maintain effective working relationships with staff and the public.
Ability to maintain the confidential nature of client and business information.
Ability to work independently with minimal supervision.
Ability to work under pressure with time constraints.
Ability to concentrate.
Ability to work the required hours of the position.
Lifting 20 pounds maximum with frequent lifting and/or carrying o objects weighing up to 10 pounds.
Intermittent standing, walking and sitting.
Using hands(s)/feet for repetitive single grasping, fine manipulation, pushing and pulling, and operating controls.
Occasional bending, twisting, squatting, climbing, reaching, and grappling.
Communicating orally in a clear manner.
Distinguishing sounds at various frequencies and volumes.
Distinguishing people and objects at varied distances under a variety of light conditions.
Must be able to pass the pre-employment physical and be free from communicable disease.
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