HIM Operations Clinical Lab Data Abstractor I

Advocate Health; Milwaukee (WI); Sur place; USD 32 000 - 52 000; Plein temps

Résumé du poste

Advocate Health is seeking a detail-oriented Health Information Management support professional to manage electronic health records, process clinical documentation, and ensure regulatory compliance. The role involves accurate data entry, scanning, and validation of laboratory results within the EHR.

Ideal candidates will have 1–2 years in HIM or a related healthcare setting, proficiency with Epic and related tools, and the ability to work in a fast-paced environment while safeguarding patient

Qualifications

• High School graduate or equivalent.
• 1-2 years of experience in Health Information Management, Medical Laboratory, or related healthcare setting.
• Proficient computer/keyboard skills; ability to learn Epic, ExtractLabDE, Solarity, OnBase, MS 365 and legacy archives.

Responsabilités

• Process and file clinical documentation into the EHR per HIM procedures.
• Analyze non-interfaced lab reports for patient identifiers and regulatory compliance.
• Enter and validate data for laboratory tests and results in the EHR.
• Ensure security and destruction of PHI per HIPAA requirements.
• Communicate with care teams via phone, email, Epic In-Basket, and other methods.
• Perform quality assurance of scanned documentation to ensure accuracy and timeliness.

Connaissances

Epic system

HIM procedures

Data entry accuracy

Attention to detail

Team collaboration

Formation

High School diploma

Outils

Epic

ExtractLabDE

Solarity

OnBase

Microsoft 365

Description du poste

Major Responsibilities

Navigates various electronic health record (EHR) and computer applications to perform job duties to support patient care, care management initiatives, revenue cycle,HealthMaintenanceand regulatoryrequirements.Receives, sorts, prepares, and scans internal and external clinical documentation into the EHR according to Health Information Management (HIM) procedures.

Analyzes non-interfaced patient laboratory reports to ensure patient identifiers and compliance with all applicable regulations includingHealth Maintenance, College of American Pathologist (CAP) Accreditation,and Clinical Laboratory Improvement Amendments (CLIA). Utilizes optical character recognition software to electronicallyand ormanually enterappropriate datainto the EHR.

Identifies,creates,or releases theappropriate laboratorytests by applying knowledge of medical terminology and laboratory nomenclature. Selects the correct order templates, discretely enters, andvalidateindividual components, comments, footnotes, performing laboratory name and address, collection date and time, units of measure, reference ranges,abbreviations,and symbols.Discretelyabstracts and imports laboratory results and other clinical documentation into the EHR.Recordsnormal and abnormal findings. Ensures laboratory values are accurately entered and flagged to promptly alert patients and cliniciansregardingnormal and abnormal results.

Locates or creates theappropriate patient, encounter, and/or order. Correctly paginates and classifies documentation to theappropriate documenttype and description.Ensuresappropriate securitylevels,protection,and destructionofelectronic and physical PHIinformation according toHealth Insurance Portability and Accountability Act (HIPAA).

Readilyadapts to new and/or evolving laboratory tests, parameters, reference ranges, and regulations. Validates all data points and laboratory codes and uses critical thinking skills toidentifyand investigate questionable information and troubleshoot issues. Escalates issues andreportspatterns of concern to leadershiptimely.

Performs quality assurance of scanned documentation to ensure clinical documentation is scanned to the correct patient, encounter, document type, and orderablein a timely manneraccording to Health Information Management policy. Verifies the electronic information against the paper document tovalidateaccuracy, clarity, and legibility

Completestimelyerror correction or notificationprocess;including re-resulting ordeletingdocumentation as needed. Ensure secure retention and destruction of electronic and physical PHIin accordance withapplicable regulations and policies

Communicates with patient care and external performing laboratories via phone, email, fax, Epic In-Basket, and other methods to provide education, STAT laboratory data entryservicesand other required information.

Minimum Job Requirements

Education

High School Graduateor Equivalent

Experience

Typically requires1-2years of experiencegainedthroughworking in aHealth Information Management,MedicalLaboratorydepartment or other related healthcare setting.

Knowledge / Skills / Abilities

Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, ExtractLabDE,Solarity,OnBase, Microsoft 365 and legacy archives.

High attention to detail and accuracy with frequent interruptions.

Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.

Ability to work independently and make decisions with minimal supervision whilemaintainingquality and productivity standards.

Works collaboratively in a diverse team environment with openness and respect to learn, create andproblem solve.

Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success

Physical Requirements and Working Conditions

This position requires travel, therefore,willbe exposed to weather and road conditions.

Operates all equipment necessary to perform the job, performs daily routine maintenance of equipment

Exposed to a normal office environment.

Reliable Internet Service

Preferred Job Requirements

Allresponsibilitiesand requirements are subject topossible modificationtoreasonably accommodateindividuals with disabilities.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.