HomeMy WebLinkAboutMINUTES - 02121991 - 1.41 a------ POSITION ADJUSTHMT REQUEST No. to
1-�04� �l
Date:
Dept. -No./ COPERS
Department HEALTH SVCS/FINANCE Budget Unit No. tip_ Org. No. . 6`6q Agency No. 54. '
Action Requested: add one 40/40 Medical Records TechlAQP28 A"
Proposed Effective Date:
Explain why adjustment is needed: to mast paymant 'ranntc of mpdiral rrnvidt-rc _ _
Classification Questionnaire attached: 'Yes X No
Cost is within department's budget: Yes XX No
Total One-Time Costs (non-salary) associated with this request: $
Estimated Total cost of adjustment .(salary/benefits/one-time):.
Total Annual Cost $ 24.360.00 Net .County Cost $+ _
Total This FY $ '8.120 00 N.C.C.-This FY $
Source of Funding to Offset Adjustment: 500 EMedi-Carp
Department must initiate necessary appropriation adjustment
and submit to CAO. Use additional sheets for further
explanations or comments. (for) a en Head
gnp
Reviewed by CAO and Released To Personnel Department
Deputy County Administrator. Date
Personnel Department Recommendation Date: 1-31-91
Add .one 40/40 Medical Records-"Technician C5-1507. ($2050-2492).
Amend Resolution 71/17 establishing positions and resolutions allocating classes to the
Basic/Exempt Salary Schedule, .as described above.
Effective: day fo1lowing Board action.
Date (for) Director of Personnel
Co ty Administrator Recommendation Date:
Approve Recommendation of Director of Personnel
Disapprove Recommendation of Director of Personnel
Other:
(forJ County Administrator
Board of Supervisors Action 'FEB 12 1991 Phil Batchelor, Clerk of the Board of
Adjustment APPROVED/9"A..A6aw on Supervisors and County Administrator
Dater FEB 19 1991 By:
APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT.
'300 (M347) 7/Q9 (Rev. )
CONTRA COSTA COUNTY
CLASSIFICATION QUESTIONNAIRE
HEALTH SERVICES FINANCE, PATIENT ACCOUNTING
NAME DEPARTMENT DIVISION
MEDICAL RECORDS TECHNICIAN 595 Center Ave . , X6300
OFFICIAL JOB CLASSIFICATION' WORKING JOB TITLE Place of Work and Assigned Hours
Time Required Description of Work I
Responsible for going to the hospital and four outpatient clinics
50% to obtain information from the medical record. It must be
determined that there is sufficient documentation in the medical
record to support the billings being submitted. Charges are
verified to ensure all services documented in the chart have
been processed through the computerized billing .system. Erroneous
charges , if any, must be deleted.' Must. be able to provide
copies of any documents .or' notes 'i'n the event of an inquiry
or rejection. Must have a good background in medical terminology,
ICD9-CM .coding and know billing regulations and requirements .
Good judgement in reporting the results of research is 'imperative
as a great deal of revenue can be gained or lost based on _the
evaluation of the medical records . .
15% Surgical and sterilization consent forms are checked for complete-
ness and accuracy. There are legal requirements controlling
when and how these forms are 'comp1e'ted. To document. proper
authorization, the MediCal program requires these forms be_
completed prior to performing ,the procedure and in some cases ,
a particular number of days is stipulated. Failure to conform
to these, regulations is a basis for rejection of the charges
and a loss of revenue .
Review charts and do the copying of records for Kaiser Hospital
15% whose patients (members) are seen by Health Services under
specificcircumstances ; emergency and certain psychiatric patients .
Also copy records for other insurers . Must have knowledge of
appropriate state and federal- confidenti;ality regulations before
releasing records .
Assist in resolution of and response to patient , insurers ,MediCal
10% and others questions regarding services billed. Also assigned
other projects by Patient Financial - Services Manager that are
pertinent to this kind of .expertise . An example is reviewing
maternity and nursery . charges at the time of discharge to eliminate
late charges and delays in billing.
10% Research medical record for 'billers who have unrelated charges
to an account .
i
AK 75
r. •1
List Machines or Equipment Operated as Part of Job:
VDT, Copy machine , typewriter, calcu.lat.o.r ;
Designate the name and title of the person who supervises position
Gary Young, Supervisor
[(Ol l • names.of employees supervised, if a whole un a supervised simply name • un an R o • the number of employees,
None
I(.publlc contacts are required either In person or by phone, state wilh whom,and In gonerol,.lor what purposes s
Patients, both inpatient and outpatient , when signatures and/or dates are
inadequate or erroneous on sterilization consents .
What decisions must be made In performing the work s
After reviewing medical records, decisions must be made about charges to be
changed, added or deleted. Whether consents are in order and whether certain
information from the medical record can be released and to whom.
What parts of the job require the greatest skill, knowledge,and Involve the greatest responsibility t
Finding the information and the ability to decipher it requires both skill and
knowledge. The greatest responsibility lies in the consents because. the County
can be liable for mishandling.
The above statements accurately describe this job as It has been for the poet and
Years onl a
(Signature) ( Dale)
COMMENTS OF IMMEDIATE SUPERVISOR
�1
In what way are the above statements incomplete, Inaccurate or misleading:
'.What Is the basic purpose or function of this position i
What changes have occurred In the work of this position Z
What parts of this job do you check or review closely and why 7
If the position requires typing or shorthand, are they incidental or essential 7
Typing t lie s Time Required i
Shorthand t Nr0 Time Required,t
Slate what you believe to be the special certificates and minimum amounts of training and experience required to perform this job t
Roquleed education i
Required •xonriepc.qt 12 mos ful.ltime exneriencP or eoiii.val_ent in medical- records
,Required license or cerlj& kt unit of acute care hospital. or ambulatory care clinic
(Signature) - (Date I
COMMENTS OF DEPARTMENT IfEAD
Comment onthe statement of the employee and supervisor. Designate any other positions In the department which you believe are similar In dull•& and
responsibilities.
(Signature 1 (Doti 1