Clerk, HIM

Chadron Community Hospital, Corp.; Chadron (NE); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Benefits after 60-day waiting period

Job summary

Chadron Community Hospital, Corp. is seeking a Health Information Management professional to handle chart completion and maintenance. You will review records after discharge, communicate with physicians about delinquencies, and ensure regulatory compliance.

Responsibilities include routing incomplete charts, abstracting information into EMR, filing and release of information, and handling birth certificates and newborn test submissions under hospital policies.

Qualifications

• High school diploma or equivalent is required.
• Experience with hospital information systems and electronic health records is preferred.
• Customer service experience and ability to learn multiple hospital computer systems.

Responsibilities

• Process and route incomplete charts for physician completion.
• Review discharged records for completeness and compliance.
• Enter deficiencies and notify physicians as needed.
• Abstract data from records into the electronic medical record.
• Filing, scanning, and releasing information per regulations.
• Submit newborn tests and complete birth certificates as required.

Skills

Electronic Health Records

Customer service

Hospital information system

Data entry

Education

High School diploma or equivalent

Tools

EHR software

EMR systems

Job description

Full-time, 30-40 hours/week

Monday-Friday, 8am-4:30pm, no on-call or holidays

Benefited position after 60-day waiting period.

JOB SUMMARY:

Responsible for all aspects of chart completion and maintenance. Review medical records after patient discharge, for completeness and compliance with hospital policies. Communicate to physicians about delinquent reports.

PRIMARY RESPONSIBILITIES AND DUTIES

• Enters deficiencies into computer for notification for physician completion
• Routing of all incomplete charts and checking for completion after physician has worked on his/her charts.
• Health Information Management
• Maintains knowledge in charting requirements
• Abstracts procedural and other information from the record on each inpatient, outpatients and Emergency Department visit into the electronic medical record after discharge
• Performs records requests and release of information for individuals or agencies in accordance with hospital regulations and statutes of privileged information.
• Filing of medical records charts and loose reports to include scanning in documents (ex. Advance Directives) to complete electronic medical records
• Assembly and analysis of all discharged charts
• Completion of birth certificates and paternity affidavits
• Submit newborn hearing test results to the state

Requirements

EDUCATION/LICENSURE/CERTIFICATION:

• High School diploma or equivalent required.

EXPERIENCE:

• Knowledge of hospital information system desired.
• Experience in customer service environment desired.
• Experience with electronic health records.
• Ability to learn and utilize efficiently various hospital computer systems and/or programs