Review patient health information documents to ensure completeness, proper authentication and compliance, before inclusion in the medical record. Accurately scans and indexes, and maintains documentation within the electronic medical record system (EMR) while meeting established quality and turnaround standards. Monitors and manages electronic fax and shared folder workflows, ensuring timely, accurate routing, processing and accessibility of patient health information in accordance with departmental procedures, regulatory requirements, and confidentiality standards.
SCHEDULE: Monday-Friday 8:00a.m. - 4:30p.m. This position will be on-site.
MAJOR RESPONSIBILITIES & DUTIES:
Reviews patient health information documents to ensure documents are complete, legible, and in compliance with established guidelines.
Identifies document deficiencies and route incomplete or inaccurate documents to the appropriate clinic or provider for correction.
Scans medical records, school records, diagnostic tests, etc. into the patient’s electronic medical record and accurately enter the data collected for each required field.
Follows established department protocols and procedures for document imaging.
Maintains established production and quality standards.
Maintains expert knowledge of specialty document types to identify inconsistencies and ensure accurate, consistent scanning and indexing in accordance with established procedures.
Utilizes training guides, tipsheets, and available resources to ensure accurate and consistent scanning practices.
Accurately reviews documents to ensure document is properly authenticated.
Scans, indexes, and maintains electronic documents in the electronic medical record ensuring proper organization and record integrity.
Reviews and verifies scanned and indexed documents for accuracy and completeness, maintaining a minimum 98% accuracy rate.
Manages electronic fax folders and shared folders using established protocols.
Scans documents into shared electronic folders based on priority standards.
Communicates with outside clinics when additional information is needed or faxed document is incomplete.
Participates in department projects, workflow improvement initiatives and cross-training activities.
Collaborates with clinical staff and external facilities to resolve document-related issues accurately, professionally, and in a timely manner.
Performs specialized clerical duties associated with the medical records procedures.
Utilizes various computer applications, electronic health record systems, and departmental software to perform job duties.
KNOWLEDGE, SKILLS, AND ABILITIES:
Detail oriented with good organization skills.
Knowledge of medical record documentation and healthcare terminology.
Ability to work independently and contribute effectively within team-oriented environment, adapting to changing priorities in a fast-paced setting..
Excellent verbal and written communication skills, with the ability to effectively interact with clinical staff and customers.
Maintains strict confidentiality of patient health information (PHI) and complies with all applicable health information management standards, including HIPAA and Joint Commission.
Proficiency with electronic medical record systems, document imaging systems, and Microsoft Office applications.
REQUIRED QUALIFICATIONS:
High school diploma or equivalent required.
Proficient in Microsoft Office applications required.
PREFERRED QUALIFICATIONS:
Minimum of two years working in a Health Information Management Department, hospital or doctors office or minimum of two years of office experience preferred.
Other Duties: This job description incorporates the essential functions and duties required for this position. However, other duties may be required and assigned at times and as determined by a supervisor in order to meet the needs of the organization.
Serves as a role model in carrying out activities and behaviors that reflect the values and principles of the Boys Town…