Job Description
SUMMARY:
Responsible for maintaining accuracy of electronic medical records with a minimum of deficiencies and errors. Acts as liaison to providers to facilitate completion of records in a timely manner.
ESSENTIAL FUNCTIONS:
- Analyzes medical records for quantitative deficiencies and forwards completed records for processing; reviews records for qualitative and/or other deficiencies; assigns deficient records to appropriate provider for completion.
- Ensures that institutional policies and procedures for maintenance of medical records are followed.
- Contacts physicians and patients to obtain information required to complete certificates and other documents.
- Follows up on uncoded records to meet established deadlines.
- Prepares and/or types of various lists, records and reports, statistical material, and correspondence.
- analyzing records, policies, and procedures.
- Operates a personal computer, utilizes word processing tools, scanner, calculator, FAX machine, copy machine or related office machinery in performing assigned duties.
- Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
- Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.
- Performs related duties as assigned.
MINIMUM QUALIFICATIONS
EDUCATION: High school diploma or general education degree (GED) required. Associate’s degree in a computer or Health Information program or related field preferred.
EXPERIENCE: Three (3) years of related records management or healthcare information systems experience, preferably in an acute care setting. Experience with spreadsheets, word processing, and data entry is required.
LICENSURE OR CERTIFICATION: None Required; RHIA/RHIT preferred.
KNOWLEDGE, SKILLS, AND ABILITIES:
· Strong analytical skills in data review.
· Knowledge of EMR, databases, and scanning.
· Knowledge of medical terminology, including lab and radiology procedures preferred.
· Knowledge of computer application software such as SDK, EPIC, PeopleSoft and On Base as well as highly proficient with Microsoft Excel and Outlook.
· Comprehensive knowledge of registration policies and procedures, expertise on registration and clinical information systems, and external sources of patient demographic information.
· Strong computer skills. Proficient in use of computer systems and office automation applications required.
· Understanding of basic coding functions and workflows
· Ability to work and communicate effectively with all levels of personnel throughout entire hospital and with physicians to obtain data integrity process.
· Ability to work independently, organize and prioritize, analyze and solve problems effectively.
· Ability to read, analyze, interpret, and present data to the HIM management team.
· Ability to develop investigation methodology to gather information, identify the problem, and resolve errors using judgment, tact, and diplomacy.