Job Duties:
Assembles and analyzes discharged inpatient records for completeness.
Organizes late reports to be attached to the medical record.
Confirms the census for Data Processing.
Complete all functions involving emergency room and outpatient records.
Organizes ER/OP loose reports by date and alphabetical order.
Assemble, analyze and file Swingbed and Observation patient records.
Functions in various ways with regard to the release of information.
Scans records into EHR system.
Gathers patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians’ offices; retrieving information from automated printer.
Maintains master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.
Initiates the medical record by creating and processing the patient care record folder.
Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities.
Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.
Delivers charts to assigned areas of the hospital by following established routing procedures.
Keeps health care providers informed by communicating availability or unavailability of the record.
Maintains quality results by following hospital standards.
Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.
Maintains patient confidence by keeping patient records information confidential.
Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements.
Enhances medical records and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Skills/Qualifications:
PC Proficiency, Data Entry Skills, Time Management, Organization, Attention to Detail, Quality Focus, Professionalism, Productivity, Thoroughness, Coordination, Deadline-Oriented, Internal Communications, Reporting Skills
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