Occupational Injury HIM Technician

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MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, EXPERIENCE AND/OR LICENSURE:

1. High School Education or equivalent AND ONE (1) year of HIM Experience; OR Associate’s Degree in Health information Management (HIM)

2. Valid Driver’s License.

PREFERRED QUALIFICATIONS:

EXPERIENCE:

One (1) year of experience with workers’ compensation claim processes, including terminology with claims handling processes.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Ensure proper release of information on all requests for medical information in a timely manner from all WVUH properties in various media formats. Ensure that each request is validated in compliance with HIPAA guidelines and State/Federal Regulations. (i.e., patient name & date of birth, who to release to, from who, and specific items to be released. Identify documentation in systems and records for release requests as indicated on release and logged in request.

2.  Employee will be a resource for our medical providers to ensure proper intake coding for workers’ compensation claims. 

3.  Assist with WVUHS employee workers’ compensation processes.  May track statistical data such as injury causes and annual trends.  Employee will act as overall support for Occupational Injury/Illness Team for aspects of records management (Shared documents), and injured employee folders housing signed releases for information.

4. Assist with creating PowerPoint presentations based on existing data.

5.  Track follow-up physician visit dates so that records may be furnished to carriers.   Relay to carrier follow-up dates/times for all new, pending, existing claims so that proper disability periods are clearly identified.

6.  Communicate with injured employees to ensure proper releases of information are properly executed.

7.  Act as primary conduit for workers’ compensation carrier to access any needed medical records for carrier to provide compensability rulings and provide authorizations for medically prescribed treatment. 

8.  Obtain authorizations for requested procedures from carrier and relay to provider, ensuring continuity of care for injured workers.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Manual dexterity used in operating standard equipment; Prolonged periods of sitting.

2. May be required to walk to various areas throughout the department or medical complex.  This may require use of elevators and/or stairs.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.

SKILLS AND ABILITIES:

1. Prior experience with Microsoft Office Suite software applications, including but not limited to, Word, Excel, Access, PowerPoint, and Outlook.

2. Good verbal, mathematical, writing and presentation skills preferred.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

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