Unit Secretary Abstractor

Bryan College Of Health Sciences; Kearney (NE); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Bryan College of Health Sciences is seeking an experienced EHR Assistant to support physicians and clinic departments by performing clerical and technical tasks for accurate electronic health data entry. You will work in a team and follow established routines to maintain quality records.

Responsibilities include obtaining medical records, initial data entry, updating the EHR with records from transferring providers, and ensuring HIPAA compliance.

Qualifications

• Requires High School Degree or GED.
• Requires 6 months of prior abstracting experience.
• Must have strong interpersonal and communication skills.
• Knowledge of medical terminology preferred.

Responsibilities

• Obtain medical records and imaging for patients.
• Perform initial entry of patient data in the EHR.
• Update EHR with incoming records from transferring providers.
• Maintain appropriate records, reconciling information with external and internal sources if necessary.
• Keeps work area neat, clean and safe.
• Cooperates with other personnel to maintain good employee and public relations.
• Informs supervisor or clinic manager of concerns and problems.
• Assist with other EHR assignments as needed.
• Complies with HIPAA regulations.
• Participates in quality measures.
• Willing to accept additional assignments.
• Demonstrates a customer-service, high satisfaction approach to work with providers and patients while entering data into the EHR.
• Abstracts records, meeting a minimum abstraction rate of 20 charts per day.
• Abstracts records consistently according to departmental standards, following the listed identified needs: Allergies, Medications – as directed by Director of Clinic Operations and Nursing, Medical History, Surgical History, Family History, Immunizations, Health Management Screen, Diagnostics, Quality Information

Skills

EHR data entry

Customer service

Attention to detail

HIPAA compliance

Education

High School Diploma or GED

Medical terminology knowledge

Job description

Summary

Candidate will be responsible for assisting physicians and clinic departments by providing clerical/technical assistance to maintain accurate electronic health data. Will work in a team environment and follow established routines for EHR data entry and communications. Ideal candidate demonstrates high-level of customer service skills, is detail oriented and efficient in the entry of data into health information systems via keyboard and mouse.

• Obtain medical records and imaging on patients.


• Responsible for initial entry of patient data in EHR.


• Updates EHR with incoming patient records from transferring care providers.


• Maintains appropriate records, reconciling information with external and internal sources if necessary.


• Keeps work area neat, clean and safe.


• Cooperates with other personnel to maintain good employee and public relations.


• Informs supervisor or clinic manager of concerns and problems.


• Assist with other EHR assignments as needed.


• Complies with HIPAA regulations.


• Participates in quality measures.


• Willing to accept additional assignments.


• Demonstrates a customer-service, high satisfaction approach to work with providers and patients while entering data into the EHR.


• Abstracts records, meeting a minimum abstraction rate of 20 charts per day.


• Abstracts records consistently according to departmental standards, following the listed identified needs:
  
  
  
  • Allergies
  
  
  • Medications – as directed by Director of Clinic Operations and Nursing
  
  
  • Medical History
  
  
  • Surgical History
  
  
  • Family History
  
  
  • Immunizations
  
  
  • Health Management Screen
  
  
  • Diagnostics
  
  
  • Quality Information
  
  
  
  

Education/Experience:

• Requires High School Degree or GED.


• Requires good interpersonal and communication skills (written and verbal) to effectively interact with physicians, patients, families, and clinic staff.


• Requires 6 months of prior abstracting experience.


• Knowledge of technical medical procedures, preferred.


• Prior medical terminology education, preferred.