GENERAL SUMMARY AND SCOPE
Under the supervision of the director or designee, maintains medical record integrity by preparing documents for scanning into the electronic document management system. Examines each page of the patient paper chart and verifies patient identification on each page. Ensures that barcodes and form identification are on each form and all forms are ready to be scanned. Retrieves confidential patient records; assists physicians and authorized medical center staff in locating records, and answers telephones and greets visitors.
ESSENTIAL TASKS, DUTIES AND RESPONSIBILITIES
Prepares charts for scanning including verifying mnemonics on each page and ensuring proper document and date order, and account number. Follow through on missing pages by checking the loose sheets and with the nursing floors.
Resolves issues identified in quality control process. Identifies and resolves issues with non-standard or problem forms. Identifies any forms not in Forms Management Dictionary and routes to Lead Health Information Analyst/Director for follow-up.
Reviews scanned charts to ensure there is no outstanding dictation and that all documentation is signed by the physician. Resolves issues related to quality and accuracy. Re-scans as needed. Files complete charts in the correct location.
Follows established customer service guidelines when interacting with customers on the telephone or in person. Demonstrates ability to work as a team within the Health Information Management Department.
Performs clerical duties related to the Health Information Management Department including answering phones, taking messages, file chart components and communicating information to the appropriate person accurately and professionally.
OTHER TASKS, DUTIES AND RESPONSIBILITIES
Retrieves charts from nursing floors and Digestive Health Department.
Maintains the chart locator application.
Performs scanning duties as needed and helping with loose sheet scanning.
Participates in department performance improvement activities as assigned and attends required training.
KNOWLEDGE, SKILLS AND ABILITIES
High school diploma, or equivalent.
Knowledge of HIPAA rules and regulations.
Completion of a medical terminology course is helpful.
Working knowledge of office equipment including personal computer/keyboarding, copy machine, fax machine and multi-line telephones.
Knowledge of medical record format and content for all visit types. Ability to examine the record and verify patient identification. Ability to examine a form and determine its proper placement within the record. Ability to identify non-standard forms and determine action required.
Knowledge of medical records functions.
Willingness to work as a team player within the Health Information Management Department.
Ability to effectively communicate with physicians and other staff members.
Ability to maintain and project a positive impression of the Medical Center at all times.
Ability to handle telephone and face-to-face inquiries and problems using excellent customer service skills.
Ability to understand instructions in both written and oral form.
Punctual attendance at assigned work location is required.
Ability to work in a safe and efficient manner and maintain an accident free work place, including ability to demonstrate a working knowledge of Medical Center emergency codes.
Ability to comply with OSHA regulations and CDC standard and transmission based precaution recommendations and to utilize proper personal protective equipment. Ability to comply with provisions of applicable S.D.S. forms. Successful completion of a 90-day get-acquainted period.
Successful completion of a 90-day probationary period.
Firelands Regional Medical Center