Education: High School Diploma or GED.
Licensure, Registration and/or Certification: None.
Work Experience: 3 - 4 years related experience.
Knowledge, Skills and Abilities: Must be able to input a Minimum of 6,000 KPH with a 6% or less error rate on the Data Entry Test. Demonstrate excellent customer relations, telephone and organization skills. Effective interpersonal, written and oral communication skills. Ability to organize and prioritize work in an effective and efficient manner.
Essential Functions and Responsibilities: Retrieves, copies, processes, files, assembles, compiles, preps and scans various types of Health Information following all appropriate guidelines. Analyzes medical records, both inpatient and outpatient according to regulatory (State, Federal, TJC, CMS) and SFHS guidelines. Provides physician assistance in medical records completion; auditing physician completion activity and carrying out the physician record completion process as required by Medical Staff Rules and Regulations. Responsible for processing and ensuring all information required for the registration of births, meeting all regulatory guidelines, including paternity requirements. Processes audit requests; referring and obtaining IRB approval for research requests. Provides assistance in the release of information (ROI). Processes physician and other health care organization requests for information, meeting all regulatory guidelines. Provides support to transcription importing reports, monitoring dictation work processes, distributing work as applicable; processes physician requests, processes advance directives. Monitors export and import of physician dictation and other processes and duties as assigned. Provides office and clerical support and performs other duties as required in any and all areas of Health Information, medical records, transcription.
Decision Making: Independent judgment in making decisions involving non-routine problems under general supervision.
Working Relationships: Leads others in same work performed (does not supervise) Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.
Special Job Dimensions: None.