Job Description and Duties

The Health Record Technician II (Specialist) will be directed by the Health Record Technician III Supervisor in the Health Information Management Division at Department of State Hospitals - Atascadero (ASH). The incumbent will be responsible for, but not limited to, the following duties:

• Perform a variety of complex assigned duties requiring independence of actions and sound decision making.
• Utilizing judgment necessary to evaluate technical abstracting and coding problems, with increased consequences of errors.
• Attend and participate in appointments for Patient Access to Medical Record.
• Photocopy requested records.
• Conduct accurate, structured, concurrent, quantitative audits within the secured treatment area of the facility.
• The ability to physically travel to/from and perform duties on all treatment units in the secured area of the hospital; Perform on-unit documentation review, chart maintenance, thinning, and/or filing and maintain chart integrity.
• Analyze in-house requests for patient information and formulate appropriate response.
• Analyze medical records for deficiencies when a patient is discharged or goes to court.
• Communicate incomplete record findings to responsible staff and take steps to have the record completed.
• Assign ICD-10 codes in accordance with ICD-10-CM guidelines.
• Abstract data from a variety of sources.

If you do not have eligibility, you must take the exam. The examination is a separate process from applying for this vacancy.

Click here to take the Health Records Technician II (Specialist) Examination

Click on the link to complete the Department of State Hospitals Recruitment Survey: DSH Recruitment Survey

You will find additional information about the job in the Duty Statement.