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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.
Job Responsibility:
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
Requirements:
High school diploma or general education degree (GED) required
Associate’s degree in a computer or Health Information program or related field preferred
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
RHIA/RHIT preferred
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
Nice to have:
Associate’s degree in a computer or Health Information program or related field
Experience in an acute care setting
Knowledge of medical terminology, including lab and radiology procedures
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