Overview:

Robert Young Center

Heath Infomation Tech II

Full-Time, 1st Shift

M-F - 8:00 AM - 4:30 PM

This position is responsible for providing a variety of health information management/medical records functions. 

The work involves responsibility for data entry into the electronic health record including clinical diagnoses and tools and scanning documents. Maintains confidentiality of protected health information according to HIPAA, CFR 42, and state mental health laws. Processes correspondence and release of information requests. Monitors documentation for completeness and performs quality assurance activities. The position requires a “customer friendly” service orientation in a behavioral health setting utilizing the Robert Young Center’s Trauma Informed Care Guiding Principles.  

Why UnityPoint Health?

Culture – At UnityPoint Health, you Come for a fulfilling career and experience guided by uncompromising values and unwavering belief in doing what's right for the people we serve.

Benefits – Our competitive program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.

Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.

Development – We believe equipping you with support and is an essential part of delivering a remarkable employment experience.

Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

Visit us at (url removed)/careers to hear more from our team members about why UnityPoint Health is a great place to work.

Responsibilities:

Data Entry 

Preps and scans paper documents into the electronic health record 

Enters notes on appropriate documents and forms 

Enters clinical data from the record into fields in the electronic health record, including diagnosis, Ohio scales, allergies, and substance history 

Processes Psychiatric evaluations and assigns appropriate ICD-10 code to record 

Enters data into state required databases including Ohio Scales 

Analyzes and processes transfer and closing documents and update electronic health record accordingly 

Processes daily admissions and discharges, opening or closing the case to Psychiatric Inpatient or Riverside programs in the electronic health record

Correspondence 

Processes PCP (primary care physician) referral and school forms 

Receive and process requests for information according to state and federal regulations 

Receive and process court order and subpoena requests according to regulations 

Obtains records from other agencies per request of therapist or physician 

Monitors outstanding request and on hold lists 

Assists walk-in or phone call client requests in a timely, courteous and professional manner 

Properly log incoming and outgoing requests for information in the electronic health record for accounting of disclosures 

Retrieves archived files for requests of information on microfilm 

Deficiency Analysis 

Analyzes medical records for completeness of documentation, signatures and dates 

Verifies and updates completion of physician electronic signatures and dictation by monitoring dictation reports and the “No Matches” in the electronic health record 

Assists the therapists and physicians with the chart completion process 

Monitors and records data for QA activities 

Qualifications:

Education: High School graduation (or GED)