3.02 Understand Health Informatics HEALTH INSURANCE SPECIALIST MEDICAL TRANSCRIPTIONIST MEDICAL RECORDS ADMINISTRATOR SECRETARY/RECEPTIONIST 3.02 Understand Health Informatics MEDICAL RECORDS TECHNICIAN

Health Informatics: Healthcare careers and job duties that document patient records and health information 3.02 Understand health informatics

Health Informatics: Health information systems that operate between healthcare facilities Integrate all medical records and insurance requirements into one system Follow procedures for handling information to ensure patient privacy and security 3.02 Understand health informatics

Health Informatics Professionals Career Responsibilities Analyze patient information Abstract and code patient information Document patient information Communicate patient information Manage health information systems 3.02 Understand health informatics

Health Informatics Career Responsibilities 1) Analyze Patient Information: Collect, review, and evaluate patient information Report and distribute the information within legal guidelines within healthcare systems and insurance companies 3.02 Understand health informatics

Health Informatics Career Responsibilities 2) Abstract and Code Patient Information: Abstracting refers to collecting information from a medical record. Coding refers to the assignment of a code to each of the patient’s diagnoses and procedures for the purpose of reimbursement 3.02 Understand health informatics

ICD-9-CMs are Diagnosis codes CPTs are Procedure & Services codes 2 Types of Coding: ICD-9-CMs are Diagnosis codes CPTs are Procedure & Services codes 3.02 Understand health informatics

Diagnosis Codes ICD-9-CM Coding Used to code the DIAGNOSIS Identify the main term in the DIAGNOSIS Review sub terms, cross-reference, verify and assign correct numerical code Example: Essential hypertension Example: Essential hypertension ICD-9 401.9 3.02 Understand health informatics

Diagnosis Codes ICD-9-CM Coding Main Term in Diagnosis Main term – condition causing the patient to be sick. Example: Urinary Tract Infection Infection is the main term in this diagnosis. Review sub terms, cross-reference, verify and assign correct numerical code Urinary Tract is the sub term ICD-9 is 599.0 3.02 Understand health informatics

Complete the ICD-9-CM Coding using the internet 3.02 Understand health informatics

Procedure Codes CPT Coding Used to code MEDICAL PROCEDURES AND SERVICES Identify the main procedure or service Review sub terms, cross-reference, verify and assign correct 5 digit numerical code Example: X-ray pelvis, 4 views Example: X-ray pelvis, 4 views CPT code 72190 3.02 Understand health informatics

Procedure Codes CPT Coding Main Procedure or Service provided Example: Needle core biopsy of lung Biopsy is the main procedure or service provided Review sub terms, cross-reference, verify and assign correct 5 digit numerical code Sub Terms are Needle core, lung CPT code is 32405 3.02 Understand health informatics

Complete the CPT Coding using the internet 3.02 Understand health informatics

Health Informatics Career Responsibilities Documenting 3) Document Patient Information: Documenting refers to recording and transcribing patient information and health information. Includes completing and processing insurance forms. Must follow legal guidelines and confidentiality. 3.02 Understand health informatics

Health Informatics Career Responsibilities Documenting Medical Transcriptionist: Works independently and transcribes health information dictated by physicians and other healthcare professionals into the patient’s medical record 3.02 Understand health informatics

Health Informatics Career Responsibilities Documenting Requires: knowledge of medical terminology understanding of anatomy, physiology, and disease processes familiarity with pharmacology and laboratory tests 3.02 Understand health informatics

Health Informatics Career Responsibilities Documenting Health Insurance Specialist: Completes and processes insurance forms. Determines the information needed by insurance companies for reimbursement. Assigns ICD-9 and CPT Codes. 3.02 Understand health informatics

Complete the Medical Terminology 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating 4) Communicate Patient Information: Communicating refers to the exchange patient information and health information. Includes: Filing records Using technology Scheduling appointments Completing medical records forms Maintaining accounting records 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating Medical Records Technician: Files patient records (patient charts). 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating Ways to File Records: Alphabetical Numeric 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating Alphabetical: Index all names first: Index all names by transposing so that the last name is the primary indexing unit, first name second and middle name/initial is third. After indexing, follow strict alphabetical order. 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating Numeric: Uses numbers in various combinations Straight-numeric, consecutive Terminal-digit, the last digit is the primary unit 3.02 Understand health informatics

Complete the Alphabetic/Index Filing Straight & Terminal Numeric Filing 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating Office Secretary/Unit Secretary: Answers the phone Schedules appointments May work for one doctor or a group of doctors; or work at hospitals 3.02 Understand health informatics

Complete Telephone Etiquette Scheduling Appointments 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating Admissions Clerk: Completes medical record intake forms; requires attention to details. Collects personal and insurance information when entering the Emergency Room 3.02 Understand health informatics

Health Informatics Career Responsibilities Communicating Bookkeeper: Maintains accounting records. Includes: Inventory Patient accounts Cash records Payroll records Tax records 3.02 Understand health informatics

Health Informatics Career Responsibilities Managing 5) Manage Health Information      Systems: Managing refers to being in charge of all the information systems used within a healthcare agency. Ensures timely and accurate. Follows regulations, guidelines, and confidentiality. 3.02 Understand health informatics

Health Informatics Career Responsibilities Managing Medical Records Administrator: Manages/in charge of all the information systems used within a healthcare agency like a hospital. Highest responsibility. 3.02 Understand health informatics

Employment Opportunities in Health Informatics Clinics Laboratories Home health facilities-(Works primarily with Medicare and elderly patients.) Legal offices/Attorneys- (Reviews patient records for malpractice and negligence) Physician offices Hospitals Transcription services- (Types medical information recorded by physicians) Insurance companies 3.02 Understand health informatics

The End 3.02 Understand health informatics