This position maintains medical record integrity by supporting filing, prepping, and scanning, indexing and quality assuring paper documentation into the patient’s electronic medical records.
Reconcile all patient information with the documents received for both the hospital and physician practice documentation.
Remove any documents that do not belong to the identified patients.
Prepare discharge paper records according to the organizations standards for scanning.
Scan all prepped legal medical record documentation into OnBase following in the established procedures.
Indexes scanned pages into appropriate document type and patient’s chart.
Quality controls all scanned documents prior to releasing to the patient’s legal medical record.
Perform all duties at expected production and quality standards
Organize and file organizations records including but not limited to inpatient, outpatient, ED, loose ancillary reports and microfiche medical records.
Ensures that all medical records contain information on a simple patient only.
Provides document correction support as needed
Assists with reconciling interface related issues to ensure all documentation resides in the patient’s record.
Organizes and empties yellow transport bags and distributes documents received.
Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with Connecticut Children’s standards.
Creates, organizes and maintains legacy patient medical record charts for all patients seen in the practice area.
Prepare patient charts to ensure availability for providers prior to medical services.
Utilizes patient look up to locate patient information missing from chart
Ensure JCAHO and HIPAA compliance.
All other support duties as assigned.
Minimum Education and Experience Required:
Minimum education: High School diploma or equivalent required.
Minimum experience: One year clerical experience.
Preferred education & experience: Three years’ experience in a Health Information Management Department preferred.
License and/or Certification
Required: None.
Preferred: HIM Fundamental Certification.
Knowledge, Skills, and Abilities:
Knowledge of:
Scanning operations and equipment/hardware.
Epic software.
OnBase Software.
Terminal digit filing recommended.
HIPAA guidelines including Protected Health Information privacy requirements.
Skilled at:
Good interpersonal, numerical and organizational skills.
Computer skills.
Demonstrates proficiency in Microsoft Word and Excel.
Time management skills.
Ability to:
Read, write and speak English proficiently.
Maintain confidentiality.
Ability to build and maintain working relationships with team members.
Effectively multi-task.
Readily support new processes.
Adapt to a fast-paced environment.
Adjust to schedule changes and covering on-site locations.