Medical Record Coordinator II
About The Position
The Medical Record Clerk is responsible for prepping, scanning and indexing clinical paper documentation (medical records) for Jefferson Abington Hospital. This includes but is not limited to records for hospital, ED and outpatient procedures. The Medical Record Clerk performs quality review of the documentation ensuring that clear patient identifiers, service dates, authentication and other regulatory requirements are included on each document in accordance with The Joint Commission, State and Federal Laws and other regulatory entities. This resource is responsible for assigning documentation to the correct patient, encounter and document type in the EHR. Provides timely, accurate and accessible electronic patient health information. Works with the Manager of HIM Document Management to ensure all clinical documentation is accessible within the EHR within 24 hours of creation or defined time frame.
Requirements
- Ability to work with computerized systems.
- Good communication skills needed.
- Must be able to push a WOW (workstation on wheels) stand and walk for long periods of time.
- High School Diploma/GED required
Nice To Haves
- Prior experience in Health Information Management is preferred as well as experience in scanning and indexing.
Responsibilities
- Performs duties that include the preparation, scanning, indexing, and quality analysis of paper documentation for Hospital, ED and outpatient paper medical records. Ensures documents are aligned, maintained and uniform in the EHR (Epic and Onbase).
- Pick-up and deliver documents from hospital units to HIM central location. Responsible for tracking and verifying receipt of discharged patient records.
- Preps all pages for the scan process (i.e removing staples and making sure the quality of the document is readable). Responsible for verifying appropriate patient identification is on every page of the document. Scans documentation following established process, in a timely manner, to ensure information is available for patient care.
- Manually indexes documents to the correct patient, encounter, document type and document date. Indexes documents associated with orders to the correct order number so that the order closes in the EHR.
- Performs qualitative analysis of scanned and indexed documentation to ensure the integrity of the electronic health record. Validation of the paper record by scanned images to ensure a complete and legible record.
- Assist with corrections of documents scanned and indexed by other departments. This includes but is not limited to re-indexing of document types, removing duplicate documents, moving documents to the correct encounter or patient record.
- Inspects the equipment used for scanning and indexing daily. Responsible for keeping equipment clean to ensure clear capture of the scanned document. Reports inventory of supplies to management as needed.
Benefits
- medical (including prescription)
- supplemental insurance
- dental
- vision
- life and AD&D insurance
- short- and long-term disability
- flexible spending accounts
- retirement plans
- tuition assistance
- voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
- tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
