Medical Records Manager
SEHA
Total years of experience :24 years, 10 Months
Key Components of HIM Department under supervision
HIM Filing and Retrieval Section, HIM Medical Transcription Section, HIM Release of Information Section, HIM Chart Analysis and Completion Section, HIM Coding and Billing Section
Key Responsibilities as Cerner (HIS) Application Specialist
Clinical Application Specialist - Cerner Profile Solutions
HIM lead from the facility for Cerner 2012.01 Upgrade Project in 2014
MethodM-to review and update the for solution assessment, quickwins and the project deliverables for the cerner upgrade project.
Cerner Infoview - Data collection, compilation and reporting from
P2Sentinal activities and analysis
Reporting documentation problems as per the copy paste policies
Physician documentation analysis in power chart and reporting the documentation deficiencies in liaison with clinical coding team
Provide direct supports to the profile applications and facilitate Cerner Validations for Profile applications groups in Cert domain, Build domain, Mock domain and in Prod domain.
Assist ED physicians for First Net (Emergency EMR Module) documentation
Data collection from Discern Analytics and explorer menu CCL reports (statistics Module) and submitting to the Hospital director and concerned authorities
Assist clinical coders in 3M coding issues like V2.2 and V2.3 (updated 2011 codes) and other coding and billing issues
Technical guidance to the physicians for the power order documentations and the charge viewer and charge drops for the power orders (Electronic Documentation Module)
Provide assistance to the end users of ESM and ERM (Registration and Scheduling Modules)
Prioritize the user request needs and provide support related to HNA combines, un combines and Demographic modifications
Provide supports to cancellations of encounters, cancellations of discharges, reactivation of cancelled encounters and modification of encounters (HIM Profile Applications)
MPI down time management and end user supports for down time management (HIM Profile Applications)
Provide assistance to the doctors for e-referral services Design and incorporate with the HIS team to make policies, work flows and design decisions
Create Physician’s DCW for ESM and ERM (Registration and Scheduling Modules)
Participate in developing training plans and process
Communicate with corporate resources and attend HIM IUC meetings regularly
Assist colleagues in troubleshooting issues
Monitoring the Functions of HIS and escalating any issues emerging from a technical perspective and arise SR (Service Request) incase of technical assistance from Cerner Enterprises.
•Clinical Application Specialist - Cerner Profile Solutions
•Provide direct supports to the profile applications and facilitate Cerner Validations for Profile applications groups in Cert domain, Build domain, Mock domain and in prod domain.
•Provide assistance to the end users of ESM and ERM
•Member of HIS team to assist project team to make policies, work flows and design decisions
•Participate in evaluation of HIS in facility perspective
•Assist doctors for quality documentation with an accurate E/M level
•Provide training to the physicians for E/M documentation
•Assist Physicians to correct and modify documents if notified documentation deficiencies
•Assist ED physicians for First Net documentation
•Create Physician’s DCW for ESM and ERM
•Provide assistance to the e-referral services
•Assist clinical coders in 3M coding issues like V2.2 and V2.3 (updated 2011 codes)
•Participate in developing training plans and process
•Train end users and conducting proficiency test for the users
•Prioritize the user request needs and provide support related to HNA combines & un combines, Demographic modifications,
•Provide supports to cancellations of encounters, encounter discharges cancellations and modification of encounters
•MPI down time management and end user supports for down time management
•Communicate with corporate resources and attend HIM IUC meetings regularly
•Assist colleagues in troubleshooting issues and help them in day to day issues
•Ensuring report accuracy from a systems perspective
•Participating in departmental quality initiatives. Participating in documentation for audits
•Monitoring the Health Information System Functions in all areas of Medical Records and escalating any issues emerging from a technical perspective
•Working with the senior management while revising the policies, proceudres and guidelines pertaining to the department’s activities
Develop and maintain medical system, software applications and database for physicians, nurses and other users.
Provide technical support, troubleshooting system issues and documenting and escalating user questions to appropriate personnel.
Assess the performance of clinical computer systems and recommend areas that need improvements.
Designing and implementing educational and clinical services programs, scheduling system upgrades and training new hires on Computer programs.
Organizing and managing health care information, ensuring data quality, accuracy, accessibility and security of information.
Develop and implement policies and procedures to process medico-legal documents and insurance and correspondence requests, and to document, store, and to retrieve medical records information conforming to the State and National Statutes.
Coordinate with appropriate personnel to manage, supervise, and perform administrative work to meet procedural, legal and administrative requirements concerned with the admission, treatment, transfer, and discharge of patients.
Design, conduct, and test an in-service education program for medical records employees, medical staff members, students and other health care personnel.
Plan, organize, Implement, and test hospital’s medical records utilization review, quality assurance, and risk management programs. Plan for, justify, test and advise on the use of computer technology for collecting health care information, statistical data and management of medical records program.
Apply legal principles, policies, regulation and standards for the control and use of medical records information, handling subpoenas and court orders, and assessing risk.
Serve on various hospital committees whose policies may impact directly on the medical records program and contribute to decisions that establish hospital policies for medical records management.
•To Teach Medical Records Management, Hospital Administration, Health Administration, Computer Applications and Management subjects at Post Graduate level. The Post Graduate programs include M. App. Sc. In Medical Documentation, Master of Hospital Administration, Master of Public Health, Master of Anatomy etc.
•To Serve as Member in Board of Examiners, Panel of Pass board members, Panel of Question Paper setters in Mahatma Gandhi University, Kottayam, Kerala, India.
•To Serve as a Member in Board of Project Guides for the M. App. Sc. Medical Documentation students at School of Medical Education, Mahatma Gandhi University, Kottayam, Kerala, India.
Plan, Organize and Management of Medical Records Department. Implement ICD-10 coding of Disease to meet the requirements of the State Government. Conduct evaluations of departmental activities to be sure they meet current professional standards, and makes recommendations for changes. To Participates on hospital committees which address medical records, and quality management. To keeps current on applicable new technologies. Write procedures for the medical records system. Coordinates efforts with other department, and prepares estimates of budget, equipment, and staffing needs. Selects and furnishes information from various indices, such as disease and operation indices assuring relevancy to the subject under study.