Search for More Jobs
Get alerts for jobs like this Get jobs like this tweeted to you
Company: MedStar Medical Group
Location: Washington, DC
Career Level: Associate
Industries: Not specified

Description

General Summary of Position
Assists the management staff in providing efficient health information management services to the internal and external customers in the following areas of the department - physician incomplete records, chart review for JCAHO/regulatory agencies; validation and integrity of transcribed reports and access and security of patient records and pertinent protected health information.


Primary Duties and Responsibilities

  • Assigns and trains physicians in the electronic medical records.
  • Performs medical record reviews and analysis to comply with Joint Commission and other regulatory agency requirements.
  • Validates the data integrity and reliability of transcribed patient reports e.g. Operative reports and discharge summaries prior to downloading into computer system.
  • Performs deficiency analysis of patient medical records to ensure compliance with JCAHO standards, DCRA regulations, state and federal statutes, and Hospital policy and procedures. Performs quantitative and qualitative review, verifies physician signature, and the presence of key reports such as operative reports and discharge summaries in the medical record(s).
  • Tracks medical record(s) via the department computer system to show the current location, e.g. desk, shelf, Incomplete Files.
  • Performs a process of re-analysis of patient medical record to ensure all deficiencies have been completed by the medical staff.
  • Assists the management staff with improving physician relations and customer service, access to patient information as well as completion of incomplete and delinquent records.
  • Reviews medical record to ensure all clinical and demographic data pertaining to a specific patient is maintained under one medical record number to ensure that safety of the patient medical records..
  • Reviews and process patient, authorized representatives as well as other regulatory agency requests for patient information consistent with Hospital policies and federal regulations.
  • Selects appropriate assignments for analysis from work queue and reviews each record for missing documents, missing signatures or missing text according to procedure; correctly identifies missing elements.
  • Assigns deficiencies to physician(s) according to procedure; links signature deficiencies for COLD fed documents to correct physician and correctly identifies when diction has not been done and assigns to the correct physician.
  • Monitors reanalysis queue (physician decline queue) daily and reassigns deficiencies as appropriate.
  • Identifies and assigns deficient medical records/charts to appropriate medical staff member for completion. Enters deficiencies and physician assignments into the department's computer system.
  • Prepares various medical record deficiency reports suspension letters and generate physician notification letters for review by manager.
  • Processes vital statistics and information to external agencies (i.e., DC Department of Vital Statistics). Ensures the integrity of the demographic and other pertinent information to reporting agencies.

  •  

    Minimum Qualifications
    Education

    • High School Diploma or GED required
    • May require up to l year of technical or other specialized training, such as training in medical records in medical records or medical terminology and/or the use of personal computers.

    Experience

    • 5 to 6 years experience working in a hospital or physician's office environment required
    • Familiarity with Joint Commission HIM requirements preferred

    Knowledge, Skills, and Abilities

    • Requires the ability to read and write in English, and comprehend policies and procedures; knowledge of grammar, and arithmetic including fractions and decimals; understanding of chart analysis and medical technology, proficiency with Microsoft Office Word and Excel applications; and excellent communication and customer service skills.
    • May require the use of standard office/medical equipment (i.e., typewriter, personal computer, data terminal, on-line printer, calculator, telephone, facsimile, copier, sterilizing equipment, blood pressure cuff, or tables); the preparation, comparison or checking of reports, records and related data; and basic use of formulas, charts, tables, drawings and knowledge of their application.


    This position has a hiring range of $26.083 - $39.372

     


     Apply on company website