This is a description of a Staff Position Classification. It is not an announcement of a position opening. To view descriptions of current openings, please go to UNMJobs and Search Postings to view positions that are currently accepting applications.
The following statements are intended to describe, in broad terms, the general functions and responsibility levels characteristic of positions assigned to this classification. They should not be viewed as an exhaustive list of the specific duties and prerequisites applicable to individual positions that have been so classified.
Under general supervision, coordinates the processing and review of patient medical records for a specified clinical component, provides routine user support, simple problem analysis and resolution, general technical assistance, and training as it pertains to Clinical Management Information Systems. Ensures compliance of records with relevant regulations and standards, and assists with the preparation of statistical reports. May lead, guide, and train lower level medical records staff and/or associated clerical support staff, as appropriate.
Duties and Responsibilities
Maintains medical records ensuring all necessary forms and documents are present, accurate, and complete and adhere to established protocols and various current regulatory requirements/standards.
Analyzes medical records, conducts various routine and special audits, and researches and corrects data and information to maintain integrity of programs and ensure accuracy and completeness of patient records.
Responds to inquiries from physicians, staff, and outside agencies and/or individuals regarding medical records.
Interprets and applies privacy act information when processing requests for the release of medical health information. Ensures strict confidentiality of medical records.
Assists with the development and preparation of statistical reports required by internal constituents or external agencies and regulatory authorities.
Gathers information and statistics to help conduct analysis of medical records and quality assurance studies to improve procedures for providing medical health information. Investigates and resolves problems related to transactions handled by the department.
Provides cross-system IT support, performs problem solving and assistance on various clinical applications and hardware systems for physicians, nurses, and other staff directly involved in patient care. Troubleshoots, applies resolution, and provides prompt feedback to end users on service requests.
Follows the policies and procedures for the technical support of clinical informatics software in accordance with HIPAA and all other applicable regulatory agency requirements.
Provides technical guidance and support to other medical record staff and/or students.
May provide individual and/or group instruction and training to users on computer systems and clinical applications.
Maintains documentation and writes user instructions.
Performs miscellaneous job-related duties as assigned.
Minimum Job Requirements
High school diploma or GED; at least 1 year of experience directly related to the duties and responsibilities specified.
Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
Knowledge, Skills and Abilities Required
Ability to communicate effectively both orally and in writing.
Ability to gather data, compile information and prepare reports.
Knowledge of medical terminology.
Ability to use independent judgment and to manage and impart confidential information.
Knowledge of customer service standards and procedures.
Knowledge of related accreditation and certification requirements.
Ability to analyze and solve problems.
Ability to maintain confidentiality of records and information.
Ability to make administrative/procedural decisions and judgements.
Knowledge of all facets of medical records systems, processes, procedures, and documentation standards.
Knowledge of patient intake and discharge procedures.
Ability to provide technical guidance and leadership to medical records staff.
Knowledge of relevant medical coding systems and procedures.
Working Conditions and Physical Effort
No or very limited exposure to physical risk.
No or very limited physical effort required.
Work is normally performed in a typical interior/office work environment.
The University of New Mexico provides all training required by OSHA to ensure employee safety.