| Location | Kinston, NC |
Job Description
Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
Responsibilities:
a. Ensures that all previous day's discharges are received in HIS;
b. Follow up on missing records to ensure that records are received in a timely manner;
a. Removes all staples, paper clips, and/or sticky notes, etc;
b. Repairs forms, as needed, such as torn, wrinkled, and/or folded pages;
c. Stamps illegible documents with a "Poor Quality Original" stamp;
d. Confirmation that patient identifiers are on every page (front and back) including but not limited to, the patient's name, medical record number, and account number by placing patient barcode sticker on paper documents.
a. Appropriately utilizes batch cover sheets and separator sheets for batch scanning;
b. Uses scanner(s) proficiently with selecting appropriate settings and feeding paper documentation correctly;
c. Performs a manual quality check during indexing;
d. Verifies that each page is displayed correctly, has appropriate patient identifiers, documents are of good quality, and that documents are grouped correctly;
e. Ensures that documents are correctly named according to the document types;
f. Maintains 100% accuracy rate of scanned images.
a. Accurately analyzes all patient record types for required content in accordance with State and Federal regulations and hospital's Medical Staff Bylaws;
b. Assigns and resolves deficiencies for required medical record documentation;
c. Monitor and works assigned work queues;
d. Performs quality reviews of others' scanned documents for accuracy.
a. Maintains hospital requirements, policies, and standards on confidentiality;
b. Responds to incoming faxes as appropriate;
c. Provides information to customers on "My UNC Chart" and assists them with getting set up;
d. Covers front desk area and release of information requests when third party release of information staff is absent or unavailable.
a. Maintains an accurate record deficiency system by entering all edits and deletions as needed.
b. Edits all charts within 24 hours of completion by physician.score
a. Assists medical staff with questions concerning record completion requirements.
b. Assists with the education of clinical affiliation students.
c. Assists in orienting new employees and new medical staff members.
d. Consults with physician office staff as needed.
e. Readily assists physicians with record completion needs.
f. Provides accurate and timely information regarding incomplete records.
g. Good communication skills are used inter and intra departmentally. Promotes harmony and teamwork among coworkers and others.
a. Notifies physicians of their delinquent or deficient charts on a weekly basis. Notifies physicians prior to placing them in suspension status via letter.
a. Audits and assures that billing is complete no later than 30 days post discharge to provide timely reimbursement and data needed by internal and external customers.
b. Audits incomplete record file to assure that dictation needed for billing and record completion is put on chart in timely manner.
a. Forwards completed charts to Performance Improvement for medical record review.
b. Performs quality control functions to assure accuracy
c. Completes other duties as assigned with a positive attitude.
d. Appropriately report any system errors or malfunctioning equipment to leadership and/or Information Services Division (ISD);
e. Orders supplies for departmental use on a timely basis;
f. Assists in the orientation and training of new employees and/or the cross-training of co-workers;
a. Provides role specific education to Health Information Technology students;
b. Assists in answering phones and taking accurate messages;
EDUCATIONHigh school diploma or equivalent required. Coursework in medical terminology preferred. A.S. in Health Information Technology preferred.EXPERIENCEPrevious experience in a Health Information Services Department required. Previous Meditech experience preferred.LICENSURE/REGISTRATION/CERTIFICATIONRHIT preferred.OTHER SKILLS AND QUALIFICATIONSDeveloped knowledge of medical terminology. Moderate computer literacy and familiarity with the keyboard. Excel experience preferred. Knowledge of JCAHO, CMS and other external agencies requirement is regarding record completion. Good interpersonal and communication skills required to work with customers and team members in the department and hospital. Flexibility.
Job Details
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: Health Info Services
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: LENOIR MEM
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Job Details
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: Health Info Services
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: LENOIR MEM
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.