APPLICATIONS MUST BE FILED ONLINE ONLY-APPLICATIONS SUBMITTED BY U.S. MAIL, FAX, OR IN PERSON WILL NOT BE ACCEPTED.
This announcement is a rebulletin to update the salary and the Special Requirement Information. Persons who have already applied within the last twelve (12) months need not reapply, but may submit additional information by the last day of filing. The information must include your name, the correct examination title and number.
Positions allocable to this advanced journey/expert level class are under limited supervision of a higher level supervisor; Health Information Senior Technicians perform, and may provide leadership or limited supervision over the provision of, highly complex services in the collection, management, coding and abstraction of health information.
Reviews patients' health information for completeness, consistency and compliance with laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), department and facility procedures and requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.
Leads and supervises a team of health information personnel and/or clerical staff engaged in reviewing patients' medical files for completeness, consistency and compliance with Federal and State laws, Title 22 standards and departmental regulations as needed; provides direction and guidance to Health Information and medical records staff, providing basic and intermediate coding and abstracting services to the work unit.
Assures that all relevant medical documentation is included in patients' medical records, and tactfully and persistently seeks clarification, correction or completion of medical records or charts from responsible physicians, nurses, laboratories and other clinical staff; confirms pathologies, dates and times of treatments and procedures, and abstracts patients' medical records.
Abstracts and codes the most difficult inpatient cases, such as complex invasive surgical procedures, difficult disease categories and/or trauma, and cases involving multiple body systems and co-morbidities; facilitates patient discharge reviews and recommends additional coding.
Accurately selects principal diagnosis, sequence diagnoses and procedures and demonstrates significant knowledge of co-morbidities and other factors affecting the assignment of correct diagnosis related groups (DRGs) to patients' records.
Enters coded medical data into a computer terminal, and selects diagnoses and procedure codes from designated computer-based coding systems, such as 3M encoder; coordinates efforts with billing staff to maximize reimbursement, and resolves coding issues, such as unacceptable codes.
Expertly utilizes International Classification of Diseases, 10th Ed. (ICD-10-CM) and Health Care Common Procedural Coding System/Current Procedural Terminology (CPT-4/HCPCS) nomenclature, Ambulatory Payment Classifications (APCs), Diagnostic and Statistical Manual of Mental Disorders, Version IV (DSM-IV), and other coding and classification systems to maximize reimbursements and assure conformity with Title 22 and departmental standards.
Abstracts cancer patients' demographic and morphology data, diagnosis(es) and treatments, provider data, diagnostic findings and treatment results and histology, tumor extent and behaviors (e.g., TMM staging), and related information as appropriate, and performs cancer registry quality checks on abstracts.
Trains and assists other health information management staff with patient records, coding and reimbursement issues and concerns; trains staff in new coding systems such as ICD, 10th edition, and coding and billing situations and factors unique to a specialty area, as required.
Assures the integrity of Medi-Cal billings and applies fraud, waste and abuse regulations and procedural controls to the work; may track and prepare control lists, conduct medical record quality reviews, and audit patient health information.
Verifies that cases of communicable diseases have been properly reported.
OPTION I: Certification* as a Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA), -AND- two years of paid full-time experience in medical information management, coding and abstracting of medical records.
OPTION II: Certification* as a Registered Health Information Administrator (RHIA) by AHIMA, -AND- one year of paid full-time experience in medical information management, coding and abstracting of medical records.
Physical Class II - Light: Light physical effort which may include occasional light lifting to a 10 pound limit, and some bending, stooping or squatting. Considerable walking may be involved.
A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
*To qualify, applicants must attach or submit a copy of their certification as a RHIT or RHIA by AHIMA AT THE TIME OF FILING.
The required certification MUST be current and unrestricted; a conditional, provisional, probationary or restricted certification will NOT be accepted.
Credit will be given to applicants who possess DESIRABLE qualifications and indicate so on their employment application at the time of filing.
A Bachelor's Degree** in Medical Records Administration or a related field from an accredited*** college or University.
**In order to receive credit for the required degree, you must include a legible copy of the official diploma, official transcripts, or official letter from the accredited institution which shows the area of specialization with your application AT THE TIME OF FILING, or within 15 days of filing.
A mandatory tour of a Correctional facility and the Medical Services work environment will be required as part of the selection process.
***Accreditation: Accredited institutions are those listed in the publications of regional, national or international accrediting agencies which are accepted by the Department of Human Resources. Publications such as American Universities and Colleges and International Handbook of Universities are acceptable references. Also acceptable, if appropriate, are degrees that have been evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic credential evaluation agency recognized by The National Association of Credential Evaluation Services or the Association of International Credential Evaluators, Inc. (AICE).
This examination will consist of an evaluation of training and experience based upon application information and desirable qualifications weighted 100%.
CANDIDATES MUST ACHIEVE A PASSING SCORE OF 70% OR HIGHER ON THE EXAMINATION IN ORDER TO BE PLACED ON THE ELIGIBLE REGISTER.
Shift: Any Shift APPOINTEES MUST BE WILLING TO WORK ANY SHIFT, INCLUDING EVENINGS, NIGHTS, WEEKENDS, AND HOLIDAYS.
SUCCESSFUL CANDIDATES MUST COMPLETE A THOROUGH BACKGROUND INVESTIGATION, INCLUDING FINGERPRINT SEARCH. Examples of disqualifying factors include: Any felony convictions; job related misdemeanor convictions; certain serious traffic convictions or patterns of traffic violations (3 moving violations in one year; failure to appear; at fault accidents; suspended license; driving under the influence); poor credit history; poor employment history; substance abuse; anyone on probation.
The resulting eligible register for this examination will be used to fill vacancies within the Los Angeles County Sheriff's Department, Custody Division, Medical Services Bureau as they occur.
The names of candidates receiving a passing grade in the examination will be placed on the eligible register in the order of their score group for a period of twelve (12) months following the date of promulgation.
No person may compete in this examination more than once every twelve (12) months.
APPLICATIONS MUST BE FILED ONLINE ONLY-APPLICATIONS SUBMITTED BY U.S. MAIL, FAX, OR IN PERSON WILL NOT BE ACCEPTED.
All applicants are required to submit a Standard County of Los Angeles Employment application ONLINE. Resumes cannot be accepted in lieu of applications, although resumes and supporting documents may be uploaded as attachments to the online application.
Fill out your application and Job Specific Questionnaire (if applicable) completely. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job.
All information is subject to verification.
We may reject your application at any time during the selection process.
We may close this examination without prior notice.
INSTRUCTIONS FOR FILING ONLINE:
To apply for this examination, click on the button above or below this bulletin that reads, "Apply to Job" so you can apply online, track the status of your application, and get notified of your progress by mail.
We must receive your application and Job Specific Questionnaire (if applicable) by 5:00 pm, PST, on the last day of filing.
For further information concerning this examination, please call Personnel Administration, Professional Examinations Unit, at (323) 526-5611, TTY (323) 260-5291 OR (323) 267-6669.
NOTE: Candidates who apply online must upload any required documents as attachments during application submission. If you are unable to attach required documents, you may fax the documents to (323) 415-2580 within five (5) days of filing online, or by the last day of filing, WHICHEVER COMES FIRST. Please include your Name, the Exam Number, and the Exam Title on the faxed documents.
ADDITIONAL INFORMATION REGARDING ONLINE FILING:
SOCIAL SECURITY NUMBER: All applicants must enter a valid social security number at the time of filing. Entering anything other than a valid social security (i.e. 000-00-0000, 111-11-1111, etc.) will result in an automatic rejection of your application.
COMPUTER AND INTERNET ACCESS AT LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications and JSQs can be completed on computers at public libraries throughout Los Angeles County.
NO SHARING OF USER ID AND PASSWORD: All applicants must file their application online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record.
The acceptance of your application depends on whether you have clearly shown that you meet the REQUIREMENTS. Please fill out the application completely and correctly to receive full credit for any related education, training, and job experience. In the space provided for education, include the names and addresses of schools attended, titles of courses completed, dates completed, and number of credits and/or certificates earned. For each job held, give the name and address of your employer, your job title, beginning and ending dates, description of work performed, and salary earned. All information supplied by applicants is subject to verification. Applicants may be rejected at any stage of the selection process.
View details regarding Employment Eligibility Information, Social Security Act of 2004, Records of Convictions, Veterans Preference Credit, Los Angeles County Child Support Compliance Program, Americans with Disabilities Act of 1990 and the California Fair Employment and Housing Act by clicking on the link below:
Visit http://hr.lacounty.gov to view the above information. Click on Job Info Center Tab, and then click on County of Los Angeles Bulletin Information link under Some helpful links section.
Equal Employment Opportunity: It is the policy of the County of Los Angeles to provide equal employment opportunity for all qualified persons, regardless of race, religion, sex, national origin, age, sexual orientation, or disability.