JOB SUMMARY:
Abstracts information from the record on each inpatient, outpatient, and Emergency Department visits into the computerized medical record data base. Ensures accuracy and integrity of medical record abstract prior to billing interface. Maintains statistical information for all hospital departments. Coordinates the flow of information between the Performance Improvement Department and the Health Information Management Department. Creates and maintains a culture to continuously improve patient and employee satisfaction.
DUTIES AND RESPONSIBILITES:
Scanning discharge non-electronic patient forms in appropriate location.
Scanning of other non-electronic in-house and outside records as needed.
Analyzes medical records on discharged patients for completeness and accuracy according to department and hospital policy and procedures.
Fills out deficiency slips for physician completion.
Forwards all analyzed medical records to coder.
Assists in retrieving medical records for physician completion, when necessary.
Assists in answering the telephones and taking accurate messages.
Responsible for coordination the release of medical information to all requesters, including patients, physicians and other healthcare providers.
Responsible for coordination the release of medical information to insurance companies and lawyers.
Responsible for processing subpoenas and court orders.
Responsible for maintaining security and confidentiality regulations for record access and review. Consults director or supervisor for any unusual request.
Performs performance improvement functions through data collection and documentation review.
Supports the Service Excellence Initiative in achieving annual patient and employee satisfaction goals.
Participates in Service Improvement/Lean projects for department and ensures follow though to completion.
Actively participates in patient satisfaction initiatives to ensure quality patient care and a positive patient experience.
Enters birth information into Texas Electronic Registrar and uploads completed Brith Certificate to the state within 5 days of birth.
Maintains AOP certification yearly with the Office of the Attorney General.
Offers the Acknowledgement of Paternity to unmarried parents with explanation of the rights and benefits of the AOP and guide them through the process of completing the AOP.
Files the completed AOP with the Bureau of Vital Statistics.
Keeps all worksheets. AOP’s and questionnaires per state guideline.
Gives parents information about the ImmTrac immunization registry and acknowledges permission or denial on the Birth Certificate.
Supports and maintains a culture of safety and quality.
Maintains a good working relationship within the department and other departments.
Willing to accept additional assignments.
PROFESSIONAL REQUIREMENTS:
High School graduate or equivalent.
Able to communicate effectively in English, both verbally and in writing.
Basic computer knowledge.
Computerized census system knowledge helpful.
BENEFITS:
Medical, Vision and Dental Plan
Group Life Insurance
Short Term and Long Term Disability
Retirement Plan
Personal Paid Time Off
Sick Pay
