Facility
Highsmith Rainey Specialty Hospital
Location
Fayetteville, North Carolina
Department
Health Information Management
Job Family
Clerical
Work Shift
Days (United States of America)
Summary
Performs extensive reviews of patient records to confirm that documentation requirements of accrediting and other regulatory agencies are met.
Independently coordinates, monitors and follows-up timely on chart completion issues and physician complaints in this regard.
Releases patient records and information consistent with established guidelines.
Based on demonstrated knowledge, experience and senior status also serves as point of contact for chart completion issues and training of new staff.
Also, consistently assists with quality, integrity and related chart reviews.
Knowledge, Skills, and Abilities
Two years of Health Information Management experience required and scanning experience strongly preferred.
Should demonstrate the ability to type 40-45 wpm accurately or demonstrate sufficient keyboard familiarity to perform job functions.
Must have intermediate experience in the use of computers in a Windows environment.
Knowledge of general medical record format and content.
Basic understanding of medical terminology.
Knowledge of Joint Commission and other regulatory agency chart documentation requirements.
Good organizational skills with the ability to manage multiple priorities and make good independent decisions.
Attention to detail and quality to include strong recall and recognition skills.
Ability to work in a team environment as well as self-directed and resourceful in order to work alone when necessary.
Ability to work under pressure with ongoing time constraints.
Initiative and ability to provide excellent customer service to enhance patient care delivery by assuring timely and accurate access to medical records.
Excellent written and oral communication skills.
Professional appearance, positive attitude and enthusiasm.
Extended periods of sitting, with some instances of reaching, bending, stooping, pushing, and pulling all requiring use of proper body mechanics.
Ability to work productively in a high volume, high stress work environment.
Visual acuity for reading and processing charts/information.
Dexterity of upper extremities and fingers, as well as mental dexterity for accurately sorting medical record documents.
Light to moderate lifting of plus or minus 25 pounds of boxes containing medical record documents.
Required Licenses and Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity
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