Medical Records Analyst

Best Care; Omaha (NE); On-site; USD 42,000 - 54,000; Full time

Job summary

Nebraska Methodist Health System is seeking a Quality Assurance Specialist to oversee QA of inpatient, outpatient surgery, and rehab records at the Methodist Corporate Office in Omaha. You will analyze records for deficiencies per quantitative procedures to ensure regulatory compliance.

Daily tasks include abstracting acute care records with 98% accuracy, entering data into patient records, and ensuring records are ready for coding and physician completion to meet Joint Commission standards.

Qualifications

• High school diploma or equivalent required.
• Completion of medical terminology coursework within 6 months of start date.
• Participates in mandatory in-service training and continuing education.
• Prefer prior experience in a Health Information department.
• Knowledge of medical terminology and medical record practices.
• Working knowledge of Microsoft Office and typing 40 wpm with 95% accuracy.

Responsibilities

• Performs initial QA of inpatient, outpatient surgery, and rehab records to ensure completeness and regulatory compliance by analyzing records per procedure.
• Abstracts acute care records to maintain a valid database by entering data elements into patient records per department procedure.
• Abstracts medical records with 98% accuracy.
• Ensures records are available for coding and physician completion to meet Joint Commission standards and departmental goals.

Skills

Analytical skills

Attention to detail

Teamwork

Organization

Adaptability

Problem solving

Communication

Education

High school diploma / GED

Medical terminology coursework (within 6 months)

Tools

Microsoft Word

Microsoft Excel

Typing 40 wpm

Job description

Why work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha, NE

Work Schedule: Mon - Fri, 8:00am to 4:30pm

Responsible for Quality Assurance (QA) of Methodist inpatient, outpatient surgery, and rehab records to ensure completeness of the record and compliance with regulatory agencies by analyzing records for deficiencies as defined by quantitative analysis procedure

Responsibilities:

Essential Job Functions

Performs initial Quality Assurance (QA) of Methodist inpatient, outpatient surgery, and rehab records to ensure completeness of the record and compliance with regulatory agencies by analyzing records for deficiencies as defined by quantitative analysis procedure.

• Demonstrates knowledge of and applies rules applicable to analysis; i.e., signature/missing document deficiencies assigned correctly as evidenced by spot checks and feedback from Physicians; accuracy standard -–98%.

Abstracts acute care records to maintain a valid database by entering data elements into patient records per department procedure.

• Abstracts medical records per department procedure with 98% accuracy.

Ensures medical records are available for coding and physician completion in order to meet Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards and departmental goals by achieving performance expectations established for each work queue.

Schedule:

Mon - Fri, 8:00am to 4:30pm

Job Description:

Job Requirements

Education

• High school diploma, General Educational Development (GED) or equivalent required.
• Completion of medical terminology coursework within 6 months of start date required.
• Participates in mandatory in-service training and continuing education programs as mandated by policies and procedures/external agencies and as directed by supervisor.

Experience

• Prefer prior experience in a Health Information department
• Requires knowledge of medical terminology and medical record practices.
• Has a working knowledge of Microsoft Office applications such as Word and Excel, and typing skills of 40 words per minute (wpm) with 95% accuracy.

License/Certifications

• Requires the ability to provide transportation to other campus locations within a reasonable timeframe.

Skills/Knowledge/Abilities

• Analytical ability and ability to note detail when reviewing the medical records for completeness.
• Keyboarding experience with typing speed of 40 words/minute.
• Has skills in the operation of office equipment, including the copy machine, telephone, and computer.
• Requires the ability to perform office duties, follow instructions, pay attention to details in a fast paced environment, work under stress, organize work and records, problem solving, work in a team environment, adapt to change and assume responsibility for job accuracy and timeliness.

Physical Requirements

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Balancing
  • Climbing
  • Carrying
  • Crawling
  • Crouching
  • Distinguish colors
  • Kneeling
  • Lifting
  • Pulling/Pushing
  • Reaching
  • Standing
  • Stooping/bending
  • Twisting
  • Walking
• Frequently Performed (34%-66%):
  • Hearing
  • Repetitive Motions
  • Seeing/Visual
  • Speaking/talking
• Constantly Performed (67%-100%):
  • Fingering/Touching
  • Grasping
  • Keyboarding/typing
  • Sitting

Job Hazards

• Not Related:
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
  • Electrical Shock/Static
  • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%):
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affine Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.