Medical Record Completion Specialist

Saint Francis Hospital, Inc.; New Haven (CT); Presencial; USD 25.000 - 36.000; Jornada completa

Descripción de la vacante

Saint Francis Health Care System is seeking a Medical Record Completion Specialist to ensure accuracy, completeness, and regulatory compliance of inpatient and outpatient records. You will manage requests, deficiencies, and documentation to support coding and quality initiatives.

The role requires 1 year in healthcare, strong MS 365 skills, and excellent communication, with the ability to work independently in a fast-paced environment. Full-time days, Monday–Friday, 8:00am–4:30pm.

Formación

• High school diploma or GED.
• Minimum 1 year in a healthcare-related field.
• Knowledge of Microsoft 365 and other applicable software.
• Excellent communication skills, both written and verbal.
• Ability to work independently and collaboratively in a fast-paced environment with competing deadlines.
• Ability to input a minimum of 6,000 keystrokes per hour with a ≤6% error rate on the Data Entry Test.

Responsabilidades

• Analyze inpatient and outpatient medical records and assign deficiencies to the appropriate provider for completion according to regulations.
• Facilitate and monitor the medical record completion process with physicians and staff to obtain missing documentation.
• Audit provider completion activity and enforce Medical Staff Rules and Regulations related to record completion.
• Perform quality control reviews to ensure integrity, completeness, and legibility of documentation.
• Manage queues, validation queries, and timelines; address chart completion issues.
• Submit and track chart correction tickets to fix documentation discrepancies.
• Provide office and clerical support, handle calls and faxes, and assist as needed.

Conocimientos

Microsoft 365

Strong communication

Independent and collaborative

Fast-paced environment

Typing speed 6000 keystrokes/hour

Educación

High school diploma or GED

Herramientas

Data analytics tools

Descripción del empleo

Full Time Days Monday-Friday 8:00am-4:30pm

Job Summary

The Medical Record Completion Specialist is responsible for ensuring the accuracy, completeness, and compliance of inpatient and outpatient medical records in accordance with Saint Francis Health Care System, State, Federal, and accreditation standards. This role supports healthcare providers and hospital staff by managing incoming requests, correspondence, medical record deficiencies, facilitating timely chart completion, and ensuring data integrity for coding and compliance purposes.

Minimum Education

High school diploma or GED

Licensure, Registration and/or Certification

None

Work Experience

Minimum 1 year in healthcare related field

Knowledge, Skills and Abilities

Knowledge of Microsoft 365 and other applicable software. Excellent communication skills, both written and verbal that present clear and concise information. Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines. Sound ability to maintain professional and courteous and demonstrate flexibility and adaptability in a dynamic work environment. Ability to input a minimum of 6,000 keystrokes per hour with a 6% or less error rate on the Data Entry Test.

Essential Functions and Responsibilities

Conducts detailed analysis of inpatient and outpatient medical records and assigns medical record deficiencies to the appropriate provider for completion according to regulatory State, Federal, and The Joint Commission. Facilitates and monitors the medical record completion process by assisting physicians and hospital staff with timely documentation and collaborate with physicians, departments, and clinical teams to obtain missing documentation required for coding and regulatory compliance. Audits provider completion activity and enforce Medical Staff Rules and Regulations related to record completion. Performs quality control reviews to verify the integrity, completeness, and legibility of medical documentation and utilize data analytics tools and facility reports to track deficiencies, monitor trends, and support compliance improvement efforts. Manages and monitor analysis-specific queues, validation queries, and workflow timelines, as well as research chart completion issues and update deficiencies to ensure accurate, compliant, and efficient record processing. Submits and track chart correction tickets to address identified issues with medical record completion or documentation discrepancies. Provides office and clerical support; receive incoming telephone calls and assist caller as needed; monitor incoming facsimile correspondence and route to appropriate department for processing; and performs other duties as required in all areas of health information.

Decision Making

Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field.

Working Relationships

Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.

Special Job Dimensions

None.

Supplemental Information

This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

Health Information Operations - Yale Campus Location

Tulsa, Oklahoma 74136

EOE Protected Veterans/Disability

Saint Francis is a Catholic, not-for-profit Health system based in Tulsa, Oklahoma. We are the largest private employer in Eastern Oklahoma with over 12,000 employees, including 1,000 physicians. The health system is anchored by the 1,112-bed Saint Francis Hospital, the largest hospital in Oklahoma and the 11th largest in the nation. Our system also includes hospitals in south Tulsa, Muskogee and Vinita, as well as 110 Warren Clinic locations from Monkey Island to McAlester, northeastern Oklahoma's only children's hospital, a level IV neonatal intensive care unit, a 168-bed heart hospital, and Tulsa's leading trauma and emergency center.