Unit Secretary Abstractor

Bryan Health; Kearney (NE); On-site; USD 32,000 - 42,000; Full time

Job summary

Bryan Health is seeking a detail-oriented aide to support physicians and clinic departments with clerical and technical tasks in maintaining accurate electronic health data. The role requires accurate data entry into health information systems, strong customer service, and teamwork.

Expect responsibilities like abstracting records, obtaining medical records, and updating the EHR with incoming data. Applicants should have a high school diploma or GED, solid interpersonal skills, and at least 6

Qualifications

• Requires High School Diploma or GED.
• Good interpersonal and written/verbal communication skills to interact with physicians, patients and staff.
• Minimum 6 months of prior medical data abstraction/record abstracting experience.
• Knowledge of medical terminology preferred.

Responsibilities

• Obtain medical records and imaging for patients.
• Initial entry of patient data into the EHR.
• Update EHR with incoming records from transferring care providers.
• Maintain records and reconcile information with internal/external sources.
• Assist with other EHR assignments and comply with HIPAA regulations.
• Abstract records consistently per departmental standards (minimum 20 charts/day).
• Demonstrate customer-service, high-satisfaction approach when entering data.
• Participate in quality measures and report concerns to supervisor.

Skills

Customer service

Data entry

Attention to detail

Communication skills

Education

High School Diploma or GED

Medical terminology education (preferred)

Tools

EHR systems

Job description

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
• Willing to accept additional assignments.

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.