The Department of State Hospitals (DSH) – Metropolitan, Health Information Management Department (HIMD), has a permanent, full time, vacancy for a Health Records Technician I (HRT I). Under the direction of the Staff Services Manager or designee, the HRT I performs a variety of general office and clerical work in support of the Hospital's Vision, Mission, Goals, and Values. The Health Records Technician I is expected to consistently exercise a high degree of self-initiative and independence when performing assigned tasks. Responsibilities include but are not limited to:
CONCURRENT:
Abstract, process, file, collate, and audit data from health records. Enter abstracted health record data into the Admissions/Discharge/Transfers (ADT) computer system and PLATO. Chart Maintenance: Label, repair and arrange. Code health records in accordance with DSM, ICD, and CPT coding guidelines: such as discharge summaries, psychiatric evaluations, ancillary services, treatment planning conferences, physician and psychologist billing services. Maintain log of completed work and perform other special audits and reviews related to health records functions. Deliver and retrieve health records between patient care areas and the Health Information Management Department.
DISCHARGE:
Abstract, process, file, collate, and audit data from health records. Enter abstracted health record data into the Admissions/Discharge/Transfers (ADT) computer system. Code health records in accordance with DSM, ICD, and CPT coding guidelines: such as discharge summaries, psychiatric evaluations, ancillary services, treatment planning conferences, physician and psychologist billing services. Locate, retrieve and file health records and documentation in all record storage areas. Maintain and purge files/documents in all archive areas. Process health records for admission, transfer or discharge. Maintain assigned filing areas in correct filing order for easy retrieval and access of health records. Assemble health records as a unit record; all prior admissions brought forward and filed under the new hospital admission number. Deliver and retrieve health records within the hospital and copy health records as assigned. Maintain a log of completed work and perform other audits and reviews related to health record functions.
To be considered for this job opportunity, applicants must have eligibility by way of: permanent civil service status, be reachable on an employment list, have transfer eligibility, or have reinstatement eligibility. IF YOU DO NOT HAVE ELIGIBILITY, YOU MUST TAKE THE EXAM.
The examination is a separate process from applying for this vacancy. Please carefully read and follow the instructions for each process. It is your responsibility to ensure you meet the minimum qualifications as stated in the announcement as of the date this test is taken.
Click here to take the exam: CalCareers- Health Record Technician I EXAM
Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).
You will find additional information about the job in the Duty Statement.