Medical Records Analyst

Nebraska Methodist Health System; Omaha (NE); On-site; USD 36,000 - 48,000; Full time

Job summary

Nebraska Methodist Health System in Omaha, at the Methodist Corporate Office, is seeking a Quality Assurance professional to review inpatient, outpatient surgery and rehab records for completeness and regulatory compliance.

You will abstract records with high accuracy, enter data into patient records, and ensure availability for coding, aiming to meet Joint Commission standards and departmental goals.

Qualifications

• High school diploma or GED is required.
• Completion of medical terminology coursework within 6 months of start date.
• Prefer prior experience in a Health Information department.

Responsibilities

• Performs initial QA of inpatient, outpatient surgery, and rehab records to ensure completeness and regulatory compliance.
• Abstracts medical records with 98% accuracy.
• Abstracts acute care records; maintains a database by entering data elements into patient records.
• Ensures records are available for coding and physician completion to meet JCAHO standards.

Skills

Typing 40 wpm

Analytical

Teamwork

Office equipment

Education

High school diploma or GED

Medical terminology coursework

Tools

MS Office

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.

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 medical records per department procedure with 98% accuracy.

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

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 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 Affluent 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.