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Commonwealth of Pennsylvania |
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POSITION DESCRIPTION FOR JOB POSTING |
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Position Number: 00203115 |
Description Activated On: 5/28/2025 9:30:56 AM |
Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively. This position oversees the development and maintenance of inmate medical records for the Department of Corrections (DOC) State Correctional Institution (SCI) at Greene. This position also participates in the duties of subordinate staff consistent with operational and/or organizational requirements. |
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Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor. 25% Performs the full range of supervisory duties over subordinate staff. Manages and reviews work assignments to ensure timely and accurate completion. Establishes work plans and goals for the work unit. Provides training and support. 20% Organizes, maintains, and monitors the integrated health record system for inmates. Codes diseases and operations as well as special therapies, program services, and treatments with the diagnostic related group assignment. Ensures that medical reports and documented entries are in accordance with documentation practices and DOC policies as well as federal, state, or accreditation standards applicable to health care. 20% Files, withdraws, and issues health care records in accordance with all applicable policies, regulations, and guidelines on confidentiality as well as the legal statutes. Prepares and transfers records for inmates paroling or being transferred from the institution. Presents medical records in court cases involving subpoena of medical records. Notifies Health Care staff of the discharge status of inmate to other facilities and/or parole. 10% Reviews medical records and reports for completeness and accuracy, referring inadequate or incomplete health care records to physicians, dentist, and/or nursing staff for corrections. Provides documentation to the Corrections Health Care Administrator for patterns of inadequate or incomplete health records and the staff responsible. 10% Prepares periodic statistical reports on such subjects as morbidity, mortality, utilization of services and the statistics. Prepares records for management reviews. 10% Serves as a member of the Medical department Quality Assurance Committee. Regularly evaluates medical records maintenance methods to identify potential improvements. 5% Other related duties as assigned. ESSENTIAL FUNCTIONS: 1. Supervise and evaluate the work of subordinate staff 2. Effectively communicate verbally and in writing 3. Review, analyze, and interpret information 4. Establish and maintain effective working relationships 5. Operate basic office equipment 6. Be mobile over all types of physical surfaces and levels 7. Be visually observant of environment 8. Hear and identify sounds (voices, whistle, buzzer, lock release, scuffling, sudden quiet) 9. Maintain regular and reliable attendance 10. Maintain RHIT or RHIA Certification issued by AHIMA 11. Attend and participate in all mandatory training and/or testing 12. Work overtime in compliance with provisions of the Collective Bargaining Agreement 13. Travel as required |
Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature. Independently plans, assigns, and oversees the work unit. Detects and resolves routine and/or complex problems and issues. Consults with an administrative supervisor in resolving any urgent, sensitive, or unique issues. |
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Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License Experience: Licenses, registrations, or certifications: 1. Medical Records Technician Accreditation from the American Health Information Management Association 2. N/A 3. N/A 4. 5. 6. |
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Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.
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