Job Description

Schedule

Monday- Friday 3:00pm- 11:30pm

General Summary

Collects, analyzes and processes patient medical information to ensure the completeness and accuracy of clinical documentation.

Duties and Responsibilities

Essential Functions:

• Assembles medical records and analyzes for quantitative deficiencies and assigns deficient records to appropriate providers per applicable regulatory and accreditation requirements while abiding by the Rules & Regulations set forth by the Medical Staff.
• Collects, prepares and scans patient records according to established procedures.
• Prepares and distributes documents such as physician reminder notices, suspension lists, and/or other controlling documents.
• Retrieves records from various areas for chart processing. Retrieves patient records for continuation of care, Health Information Management (HIM) operations, and record requests.
• Performs release of information functions for continuation of care requests while protecting the security of the medical record and maintaining confidentiality.
• Performs related clerical duties such as photocopying, scanning, answering telephones, setting up/maintaining computer files, reporting productivity data, and distributing incoming mail and reports, operates a PC, scanner, copier and other office equipment.

Common Expectations:

• Maintains job specific standards and expectations relative to productivity and quality.
• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Participates in educational programs, in-service meetings and department meetings and LEAN projects.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Prepares fetal monitor strips for storage and boxes records for off-site storage as needed.

Required for All Jobs:

• Performs other related duties as identified.
• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Frequently
• Reaching - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Occasionally
• Eye/Hand/Foot Coordination - Occasionally

Travel Requirements:

• Estimated Amount: - Occasional travel may be required.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• Less than 1 year Relevant experience. Required

Courses and Training:

• Course in medical terminology. Upon Hire Preferred and
• Coursework in anatomy and physiology. Upon Hire Preferred

Knowledge, Skills, and Abilities:

• Working knowledge of Outlook, and Microsoft Office Suite products.