Medical Records Assistant

Title: Electronic Medical Record Assistant

Objective: The objective of the EMR Department is to provide high quality patient care in the retrieval, analysis, data entry, transcription, dissemination and maintenance of medical documentation.

Position Summary: The Electronic Medical Record Assistant is responsible for preparing documents for scanning and indexing documentation into the electronic medical record, taking ROI (release of information) calls and faxing office visits in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system.

Primary Functions:

1. Prepares documents for scanning into the electronic medical record. Examines pages and verifies patient identification on each page.

2. Reviews the documentation for appropriate image quality and indexing.

3. Scans documents into the electronic medical record. Examines pages and verifies patient identification on each page. Appropriately "batches" documents.

4. Manually indexes documents to the correct level as established by facility policy. Minimizes duplicate records and overlap entries. Verifies data integrity. Coordinates information with master patient index.

5. Accurate data entry of lab values and observation terms.

6. Answers release of information calls.

7. Faxes office visits, nuclear and diagnostic testing to PCP.

Secondary Functions:

All other temporary and/or permanent duties assigned by physicians or administrator.

Safety/Office Standards:

Employee follows guidelines, policies, and procedures as stipulated through the orientation process and as outlined in manuals: Employee Handbook, Clinical Department manual, HIPAA Regulations, Compliance Program, Bloodborne Pathogens, Safety and Emergency Preparedness, Hazardous Materials Management Plan, TB manual, and Bio-Medical Waste Management Plan.

Qualifications:

Must be a high school graduate or equivalent with GED, medical experience helpful.

Skills Required:

1. Strong computer skills.

2. Ability to examine the record and verify patient identification.

3. Ability to examine a form and determine its proper placement within the record.

4. Ability to identify nonstandard forms and determine action required.

5. Ability to read and understand documents and records.

6. Ability to navigate electronic medical record.

7. Ability to multitask.

8. Ability to prioritize.

9. Ability to concentrate and sit for extended periods.

10. Ability to work independently with minimal supervision.

11. Ability to respond ROI (release of information calls) appropriately.

12. Knowledge of medical record format and content for all visit types helpful.

13. Knowledge of medical terminology helpful.

14. Detail oriented.

Reports to:

Health Information Management Supervisor

Administration

Job Type: Full-time

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• What is your desired salary?

Experience:

• Medical Records: 1 year (Preferred)
• Athenahealth: 1 year (Preferred)
• Medical terminology: 1 year (Preferred)

Work Location: In person