Overview
Job Summary:
The Chart Research Representative Emergency Hospital Medicine is responsible for review of medical records for the necessary documents for proper indexing.
Responsibilities
Essential Functions and Tasks:
Ensures medical records are complete within the electronic medical records system by identifying and obtaining any missing chart information including signatures from physicians and other pertinent personnel
Conducts Review of Systems (ROS), Exam, HPI, and MD Notes
Retrieves existing medical records from Electronic Medical Records (EMR) system
Scans and inputs documents
Verifies that information is indexed appropriately
Pulls down medical records through Automate Tasks
Monitors the performance of the Automate Tasks
Logs into hospital systems and downloads registration logs and demographic data
Documents work processes as required
Creates new entries and sub files as needed with correct medical record number
Performs special projects and other duties as assigned
Qualifications
Education and Experience Requirements:
High School Diploma or Equivalent.
One (1) year of experience handling patient health information and/or medical records, preferred.
Knowledge, Skills, and Abilities (KSA’s):
Working knowledge of medical terminology, anatomy and physiology, legal aspects of health information
Working knowledge of department roles and responsibilities
Knowledge of Electronic Medical Records (EMRs) such as Cerner, Meditech, Epic, PICIS
Strong supervisory/management skills
Strong critical thinking skills
Strong organizational skills
Strong time management skills
Strong supervisory/management skills
Strong word processing, spreadsheet, database, and presentation software skills
Strong oral, written, and interpersonal communication skills
Ability to take initiative and effectively troubleshoot while focusing on innovative solutions
Ability to read, understand, and apply state/federal laws, regulations, and policies
Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately
Ability to remain flexible and work within a collaborative and fast paced environment
Ability to communicate with diverse personalities in a tactful, mature, and professional manner
