Medical Record Coordinator II

Number of Positions In Requisition

Job Details

Job Description

The Medical Record Clerk is responsible for prepping scanning and indexing clinical paper documentation (medical records) for Jefferson Abington Hospital. This includes but is not limited to records for hospital ED and outpatient procedures. The Medical Record Clerk performs quality review of the documentation ensuring that clear patient identifiers service dates authentication and other regulatory requirements are included on each document in accordance with The Joint Commission State and Federal Laws and other regulatory entities. This resource is responsible for assigning documentation to the correct patient encounter and document type in the EHR. Provides timely accurate and accessible electronic patient health information. Works with the Manager of HIM Document Management to ensure all clinical documentation is accessible within the EHR within 24 hours of creation or defined time frame.

Essential Functions

Interacts with co-workers visitors and other staff consistent with the values of Jefferson. (Do not delete move or over-write this statement)

Performs duties that include the preparation scanning indexing and quality analysis of paper documentation for Hospital ED and outpatient paper medical records. Ensures documents are aligned maintained and uniform in the EHR (Epic and Onbase).

Pick-up and deliver documents from hospital units to HIM central location. Responsible for tracking and verifying receipt of discharged patient records.

Preps all pages for the scan process (i.e removing staples and making sure the quality of the document is readable). Responsible for verifying appropriate patient identification is on every page of the document. Scans documentation following established process in a timely manner to ensure information is available for patient care.

Manually indexes documents to the correct patient encounter document type and document date. Indexes documents associated with orders to the correct order number so that the order closes in the EHR.

Performs qualitative analysis of scanned and indexed documentation to ensure the integrity of the electronic health record. Validation of the paper record by scanned images to ensure a complete and legible record.

Assist with corrections of documents scanned and indexed by other departments. This includes but is not limited to re-indexing of document types removing duplicate documents moving documents to the correct encounter or patient record.

Inspects the equipment used for scanning and indexing daily. Responsible for keeping equipment clean to ensure clear capture of the scanned document. Reports inventory ofsupplies to management as needed.

Competencies (Knowledge Skills and Abilities Required):

Ability to work with computerized systems.

Good communication skills needed.

Must be able to push a WOW (workstation on wheels) stand and walk for long periods of time.

Minimum Education and Experience Requirements:

Education:

High School Diploma/GED required

AND

Experience:

Prior experience in Health Information Management is preferred as well as experience in scanning and

indexing.

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

For more benefits information please click here