About The Position

Under general supervisor, preps, scans, and validates all types of paper documents into optical scanning system to obtain chart completion. Scans & validates all loose reports that are sent to the department. Responsible for analyzing medical records for deficiencies in chart documentation. Responsible for release of information for continuity of care requests. Assures that guidelines of HIPAA are followed to reduce the hospital’s potential liability in releasing records or protected health information. Responsible for processing request for government audit and specialized chart reviews (UVMC only). Responsible for monitoring incomplete charts and follow up with physicians. Responsible to analyze records to conduct regulatory documentation audits. Responsible for following guidelines of JC and Conditions of Participations and all federal and state laws. Responsible to perform other duties as assigned and needed.

Requirements

  • High School completion / GED
  • Medical Terminology
  • 1 - 3 years of job-related experience
  • Medical Office experience
  • Medical Terminology or currently enrolled in a medical terminology course.

Nice To Haves

  • Health Information or related medical field experience
  • Knowledge of Word & Excel

Responsibilities

  • Preps, scans, and validates all types of paper documents into optical scanning system to obtain chart completion.
  • Scans & validates all loose reports that are sent to the department.
  • Analyzes medical records for deficiencies in chart documentation.
  • Responsible for release of information for continuity of care requests.
  • Assures that guidelines of HIPAA are followed to reduce the hospital’s potential liability in releasing records or protected health information.
  • Processes request for government audit and specialized chart reviews (UVMC only).
  • Monitors incomplete charts and follow up with physicians.
  • Analyzes records to conduct regulatory documentation audits.
  • Follows guidelines of JC and Conditions of Participations and all federal and state laws.
  • Performs other duties as assigned and needed.
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