Job Description

Job type: Full Time

Shift: 8 HR Days

Hours: Monday - Friday 8am-4:30pm

Pick up inpatient/outpatient/emergency department encounters, and prep, scan, upload, and index the encounters. Conduct a concurrent review of the inpatient records on the nursing wings, and analyze records on the nursing wings, tag deficiencies for verbal orders and other documentation as required by Medical Staff Bylaws.

Primary Duties
1. Pick up inpatient/outpatient/emergency department encounters enter the encounters and discharges into the computer chart locator.
2. Assembles charts in the established chart order, incorporating any loose sheets received and dictation available. Verifies each page of record for correct patient name and date of admission.
3. Analyzes record on the nursing wings, tags deficiencies, and remove tags for quantitative deficiencies. Removes tags from concurrent review if complete. Enters deficiencies into deficiency tracker, prints deficiency sheets and forwards records to appropriate areas for completion.
4. Chart transcribed reports to the nursing wings. Tags the transcribed reports for signatures for completion.
5. Scans Emergency Room Department Records on a regular basis, and review encounters for misfiles.
6. Send records to storage on a periodic basis following accordance to the Health Information Services policy and procedures for retention and destruction of patient health information.
7. Scans physician queries into iDoc for request for additional information.
8. Independently recognize and performs duties which need to be done without being directly assigned.
9. Establishes priorities, organizes work and time to meet the Health Information Services workflow plan and operation.
10. Performs other duties as assigned or required.

Physical demands:
• Prolonged and extensive walking, standing
• Lift supplies/equipment
• Light physical effort (lift/carry up to 25 pounds)
• Occasional reaching, stooping, bending, kneeling and crouching
• Occasionally lifts supplies/equipment

Working Conditions:
• May be exposed to body fluids and wastes
• May be exposed to infections and contagious diseases
• Potential contact with patients under wide variety of circumstances
• Exposed to unpleasant elements (accident, injuries, and illness)

Minimum Education/Certification:
• High School graduate

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Hi-Desert Medical Center Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Hi-Desert Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note Eligibility for benefits may vary by location and is determined by employment status