Health Information Management Associate

4 weeks ago


Lincoln, United States Memorial Health University Medical Center Full time

Overview:

Our Medical Records Associate maintains medical record integrity through filing, scanning, assembling and retrieving confidential patient records for all purposes and assists in all other areas of medical records as assigned.

Qualifications:

Education:

High school graduate or GED equivalent preferred.

Licensure/Certification/Registry:

Experience:

Medical records experience or coursework strongly preferred.

Other Knowledge/Skills/Abilities:

Basic skills in using a computer, phone, fax machine.

Responsibilities:
  • Answers department phone and addresses requests.
  • Maintains the medical record electronically, including the conversion of paper to electronic.
  • Able to refer to and find patient records within the older file system as appropriate.
  • Maintains the file system/rooms in a manner that assures prompt retrieval of patient information when needed.
  • Prepares and provides medical records as needed to internal and external requestors, monitoring movement in appropriate system.
  • Scans reports into patient accounts under appropriate headings.
  • Verifies scanned images are legible, clear and titled correctly.
  • Analyzes records for documentation deficiencies, keeping current with the documentation requirements and addressing physician questions or comments with a note and/or copies of the requirements.
  • Forwards incomplete records in accordance with established guidelines to assure prompt completion by appropriate persons.
  • Complies with policies and procedures related to medico-legal matters including confidentiality, amendment of medical records, release of information, etc.
  • Enters information into the Patient Disclosure Log.
  • Boxes and logs charts for storage (i.e. monitor strips, etc.).
  • Performs other related work as required or requested.


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