Job description
Overview:
Job Summary:
- The Chart Research Representative Emergency Hospital Medicine is responsible for review of medical records for the necessary documents for proper indexing.
Essential Functions and Tasks:
- Ensures medical records are complete within the electronic medical records system by identifying and obtaining any missing chart information including signatures from physicians and other pertinent personnel
- Conducts Review of Systems (ROS), Exam, HPI, and MD Notes
- Retrieves existing medical records from Electronic Medical Records (EMR) system
- Scans and inputs documents
- Verifies that information is indexed appropriately
- Pulls down medical records through Automate Tasks
- Monitors the performance of the Automate Tasks
- Logs into hospital systems and downloads registration logs and demographic data
- Documents work processes as required
- Creates new entries and sub files as needed with correct medical record number
- Performs special projects and other duties as assigned
Education and Experience Requirements:
- High School Diploma or Equivalent.
- One (1) year of experience handling patient health information and/or medical records, preferred.
Knowledge, Skills, and Abilities (KSA's):
- Working knowledge of medical terminology, anatomy and physiology, legal aspects of health information
- Working knowledge of department roles and responsibilities
- Knowledge of Electronic Medical Records (EMRs) such as Cerner, Meditech, Epic, PICIS
- Strong critical thinking skills
- Strong organizational skills
- Strong time management skills
- Strong word processing, spreadsheet, database, and presentation software skills
- Strong oral, written, and interpersonal communication skills
- Ability to take initiative and effectively troubleshoot while focusing on innovative solutions
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately
- Ability to remain flexible and work within a collaborative and fast paced environment
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner
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