Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. Were proud to offer many development and advancement opportunities to our nearly 50000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Day (United States of America)Scheduled Weekly Hours:
30Salary Range: $13.50 - $22.00Union Position:
NoDepartment Details
Join us at the Good Samaritan Society - Specialty Care Community a 96-bed facility provides rehabilitation therapy in both our young adult and geriatric communities following a hospitalization or serious illness. Our 3 floors are separated into 2 self-contained wings each that house 16 residents all with private rooms that include wheelchair/lift accessible shower and toilet dining area and nurses station.Job Description
Understands regulatory standards for accurate medical records. Performs record analysis by abstracting and recognizes the relation of a complete medical record. Applies knowledge of disease processes anatomy physiology medical terminology state laws and other regulatory standards in the analysis of the medical record.
Utilizes job specific software in analysis and monitoring functions. Maintains software system competence including the electronic medical record (EMR) and document imaging at a high level. Completes admission and discharge related functions including retrieval of previous medical records. Scans and captures documents in an extremely timely manner and confirms capture clarity and quality. Indexes medical record documents using document imaging software. Completes document imaging accuracy checks and audits. Monitors timeliness and completion of various medical record components to assure Federal/State regulatory compliance. Enters and maintains medical professional information in the EMR.
Requires knowledge and application of coding guidelines and regulations in the assignment of diagnosis codes and sequencing specific to location and department guidelines. Assigns codes to appropriate medical diagnoses based on review of supporting documentation and ensures these are captured for timely and accurate billing for all payers. Maintain application of facility policies and standards of practice to assure release of information requests (ROI) are appropriate and meet legal regulations. Processes ROI requests within requested timeframes. Prepares and generates reports as requested.
Will work extensively with protected health information and is required to adhere to health insurance portability and accountability act (HIPAA) privacy and security regulations and policies related to the same. Handles requests for release of information according to policies and maintain security of health information and medical records. Supports and educates others on managing private information.
Prepares and participates in Health Department survey activity. Supports providers and other clinicians on EMR usage and workflows.
Qualifications
Associates degree in Health Information or Medical Record Technology preferred.Sanford is an EEO/AA Employer M/F/Disability/Vet.
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Required Experience:
IC
Sanford Health is the largest medical facility in the Fargo, ND and Sioux Falls, SD regions, dedicated to the work of healing. We partner with communities to bring health and healing to the people who live and work across our region.