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Abstractor (Chattanooga Heart - Main Office)Full Time - First Shift (P000073545) - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Chattanooga, TN Chattanooga, Tennessee |
About this job
Job Summary:
Responsible for interpreting and analyzing records on a daily basis for assigned physicians. Assists other healthcare professionals regarding patient assessments in order to document patient care and facilitate delivery of healthcare services. Chart work up, patient information retrieval and chart abstraction.
Essential Duties:
* Process requests for medical records both outgoing and incoming from multiple sources.
* Utilization of the electronic health record.
* Ability to scan, sort and file in an EHR.
* Working knowledge of electronic fax processes.
* Work knowledge or Rosetta software/matching electronic order sets.
* Strong understanding of HIPAA laws and processes.
* Import test results into EHR in a timely manner.
* Field incoming calls from patients, nurses and other medical facilities and provide friendly service and support.
* Provide support in locating medical records from internal and external sources as needed.
* Provide support in obtaining records from outside sources to complete chart for patient care.
* Meet quality and productivity standards as established by the department.
* Analyze patient medical records for physician appointments on a daily basis. Analyze, retrieve, and scan needed HIM records in order to facilitate completeness of patient chart for scheduled office visits.
* Contact appropriate areas to obtain needed information such as Cath films and CD's. Use of multiple software products, including but not limited to Chartmax, Meditech, McKesson, Cerner and other systems as need to obtain hospital information and office procedures.
* Follow established policies and procedures to contribute to the efficiency of the HIM Department.
* Ability to understand various reports and place them in appropriate categories in Document Management.
* Work closely with clinical staff and Physicians to ensure clinical abstraction is complete and correct.
* Abstract data from reports into EHR, i.e. echo vascular, nuclear, risk factors, procedures, PV diagnostic, etc. (as specified in procedure)
* Abstract medications from previous medication lists into EHR prior to appointment.
* Abstract problem list into EHR prior to appointment.
* Abstract family and social history along with allergies into EHR prior to appointment.
* Assigning diagnosis codes to problems, per ICD-10 guidelines.
* Provide administrative/clerical/technical support as assigned.
* Use reference materials appropriately and efficiently to facilitate accuracy, clarity and completeness of reports.
* Assess condition of equipment/furnishings and report replacement or repair needs.
* Interact effectively with physicians, nurses, other staff and patients and their family members in person and over the phone.
Education:
* Minimum of associates degree (RHIT) or associates degree from an accredited program.
Experience:
* One year experience in medical records. Experience in medical records or chart abstraction preferred.
License/Certification:
* RHIT or equivalent experience with chart workup and abstraction.
Additional Responsibilities:
* Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
* Adheres to and exhibits our core values:
Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
* Maintains confidentiality and protects sensitive data at all times.
* Adheres to organizational and department specific safety standards and guidelines.
* Works collaboratively and supports efforts of team members.
* Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers(F/M/Vet/Disabled)CBCHI
Responsible for interpreting and analyzing records on a daily basis for assigned physicians. Assists other healthcare professionals regarding patient assessments in order to document patient care and facilitate delivery of healthcare services. Chart work up, patient information retrieval and chart abstraction.
Essential Duties:
* Process requests for medical records both outgoing and incoming from multiple sources.
* Utilization of the electronic health record.
* Ability to scan, sort and file in an EHR.
* Working knowledge of electronic fax processes.
* Work knowledge or Rosetta software/matching electronic order sets.
* Strong understanding of HIPAA laws and processes.
* Import test results into EHR in a timely manner.
* Field incoming calls from patients, nurses and other medical facilities and provide friendly service and support.
* Provide support in locating medical records from internal and external sources as needed.
* Provide support in obtaining records from outside sources to complete chart for patient care.
* Meet quality and productivity standards as established by the department.
* Analyze patient medical records for physician appointments on a daily basis. Analyze, retrieve, and scan needed HIM records in order to facilitate completeness of patient chart for scheduled office visits.
* Contact appropriate areas to obtain needed information such as Cath films and CD's. Use of multiple software products, including but not limited to Chartmax, Meditech, McKesson, Cerner and other systems as need to obtain hospital information and office procedures.
* Follow established policies and procedures to contribute to the efficiency of the HIM Department.
* Ability to understand various reports and place them in appropriate categories in Document Management.
* Work closely with clinical staff and Physicians to ensure clinical abstraction is complete and correct.
* Abstract data from reports into EHR, i.e. echo vascular, nuclear, risk factors, procedures, PV diagnostic, etc. (as specified in procedure)
* Abstract medications from previous medication lists into EHR prior to appointment.
* Abstract problem list into EHR prior to appointment.
* Abstract family and social history along with allergies into EHR prior to appointment.
* Assigning diagnosis codes to problems, per ICD-10 guidelines.
* Provide administrative/clerical/technical support as assigned.
* Use reference materials appropriately and efficiently to facilitate accuracy, clarity and completeness of reports.
* Assess condition of equipment/furnishings and report replacement or repair needs.
* Interact effectively with physicians, nurses, other staff and patients and their family members in person and over the phone.
Education:
* Minimum of associates degree (RHIT) or associates degree from an accredited program.
Experience:
* One year experience in medical records. Experience in medical records or chart abstraction preferred.
License/Certification:
* RHIT or equivalent experience with chart workup and abstraction.
Additional Responsibilities:
* Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
* Adheres to and exhibits our core values:
Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
* Maintains confidentiality and protects sensitive data at all times.
* Adheres to organizational and department specific safety standards and guidelines.
* Works collaboratively and supports efforts of team members.
* Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers(F/M/Vet/Disabled)CBCHI
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