Health Information Management

Description

Jobs in this family work in maintaining health records and related information.

Typical functions

The functions within this job family will vary by level, but may include the following:

  • Code and/or verify coding of diagnoses and services.
  • Enter data into state-wide computer systems.
  • Ensure compliance with federal law (HIPAA), facility policies, and procedures covering the privacy of and access to patient/client health information.

The work assigned to positions in this series ranges from basic records management to administrative work.

Health Information Technician

This is a certified technical position accountable for assisting in the daily operation of a health information management unit and in maintaining a systematic flow of clinical information to all sections of the facility.  Work includes ensuring adherence to the most current edition of the International Classification of Diseases Manual (ICD) and/or the Diagnostic and Statistical Manual of Mental Disorders (DSM) coding systems.

Knowledge, skills & abilities

Knowledge of current medical terminology, classification and coding systems, and accreditation standards and guidelines. Ability to perform analyses of health information records for accuracy and completeness; to classify and code medical records; and to maintain an ongoing evaluation of health information services in relation to established standards and new technology.

Typical qualifications

Associate degree in Health Information Technology accredited by the American Health Information Management Association (AHIMA) or certification as a Registered Health Information Technician (RHIT).

Pay grade
G6

Health Information Administrator

A position at this level is responsible for professional, administrative, and supervisory work directing the activities of a health information management unit in a state facility.  The position is also responsible for facilitating classification and coding of diagnoses and services to ensure adherence to the most current edition of the ICD and/or DSM coding systems; and supervising the authorized release of patient/client information to individuals, family members, hospitals, physicians, attorneys, and others.   

Knowledge, skills & abilities

In addition to those identified in the previous level:  Knowledge of federal laws, Missouri statutes, and facility policy requirements relating to the maintenance and release of confidential patient/client information.  Ability to plan, develop, and direct the organization and operation of a health information management unit.

Typical qualifications

Bachelor’s degree in Health Information Technology accredited by the American Health Information Management Association (AHIMA) or certification as a Registered Health Information Administrator (RHIA).

Pay grade
G8