DSHS ESH Health Records Technician 2

Full Job Description

DSHS ESH – Health Records Technician 2

Eastern State Hospital is seeking a detail-oriented Health Records Technician 2 to manage and maintain medical records in compliance with state and federal regulations. In this role, you will be responsible for processing records requests from all types of requestors and for all purposes, from litigation and discovery to continuity of care, managing requests for external data, and the completion of record audits to facilitate maximum revenue return.

Located in the peaceful setting of Medical Lake, Eastern State Hospital (ESH) is a state psychiatric hospital with an operating capacity of 368 beds, situated on a beautiful, wooded campus. ESH provides essential mental health services to individuals in the region. This role plays a crucial part in ensuring the integrity of patient records, maintaining legal compliance, and supporting high-quality care in a healthcare environment committed to confidentiality and professionalism. Employees who work on-site at least three days a week may be eligible for an additional 5% premium pay on top of the advertised salary.

Please note that this position is Monday - Friday 8:00AM - 4:30PM.



Some of what you'll do:

• Responsible for decisions and conclusions concerning all types of medical record requests from open and closed records.
• Respond to requests for protected health information (PHI) from all types of requestors for a wide variety of purposes including continued patient care, discharge planning, benefit establishment, legal evaluation, detainment and commitment, disability determination and appeals, criminal defense and prosecution as well as other legal actions.
• Respond to records requests in collaboration with the Director of HIM, Director of Policy/Risk/Discovery and the Privacy and Public Disclosure Manager. Process records requests from various government agencies.
• Review requests for conformity with legal authorization requirements to ensure compliance with HIPAA, WACs and RCWs, educating and providing guidance to requestors as needed.
• Evaluate guardianship and power of attorney paperwork for legal authorities to obtain and release PHI. Assist requesters in defining the scope of records requested.
• Identify and redact information exempt from disclosure.
• Verify validity of subpoenas and court orders received.
• Respond to requests based on the requestors’ need in accordance with established legal timeframes.
• Conduct daily audits of professional staff documentation and ensure the completeness and accuracy of each record.
• Query the physicians as necessary to identify significant diagnoses in as much detail as possible, to assign the most specific ICD-10-CM.
• Maintain awareness of ICD-10-CM and DSM5 updates as applicable, seeking out and participating in educational opportunities.

What we're looking for:

• Knowledge of health information management practices, including medical terminology, records retention laws, privacy regulations (such as HIPAA), ICD-10-CM, CPT, coding guidelines, and agency policies.
• Familiarity with state, federal, and hospital policies regarding the release of confidential patient information, as well as office and records management systems and procedures.
• Strong communication skills to effectively interact with medical and legal professionals, patients, staff, and the public, both verbally and in writing.
• Demonstrated ability to work professionally and respectfully with individuals at all levels, resolve conflicts calmly, and contribute positively as a team member.
• Proficiency in reviewing data and documentation for accuracy and compliance, identifying trends, supporting standardized reporting, and using systems like Adobe Pro, Excel, Access, and Outlook.
• Ability to train, supervise, and mentor technical and professional staff to ensure compliance with policies, quality standards, and consistent performance.
• Able to work Monday through Friday, 8:00 am to 4:30 pm on-site in a busy office setting.

Who should apply?
Professionals with:

Associate's degree in health information management, business administration or related field;

AND

Five years of experience in a Health Information Management (medical records) office, office management, healthcare privacy office, compliance office or closely related area.

AND

Current and ongoing accreditation through the American Health Information Management Association (AHIMA) as a Registered Health Information Technician (RHIT).

Interested?
Along with your application, please include:

• An updated resume
  
• Three professional references with contact information
  

Questions?
Please reach out to DSHS Recruiter Alex Baclaan at alex.baclaan@dshs.wa.gov and reference job number #07914.


The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.

Additional Information

Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle

Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protect­ed veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.



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