JOB DESCRIPTION: Maintains, updates, verifies, distributes, and retrieves patient medical information in accordance with organization standards and regulatory requirements. Assists physicians in completing medical records. Performs complex and confidential administrative support to ensure accurate and prompt processing of Birth and Death certificates in accordance with state and federal guidelines.
Ensures the proper information pertaining to births or death certificates is made available to funeral homes, general pubic, and state and county. Interprets statutes, rules and regulations for the state of Georgia with completion, filing, and disseminating information related to births or deaths. Review patient records for completeness identifying missing elements. review patient records after physician has addressed any missing elements noted as deficient. Manage the refused document deficiencies within the medical record inbox. Scan patient record into the electronic system and assuring the information scanned is reviewed to ensure integrity. Coordinates the day to day transcription problem resolution including the BBT and the Refuse All In Box, working problem reports to ensure that they post timely to EeMR and to the appropriate physician In Box. Review Recovery Audit Contractor (RAC) records for completeness. Release requested medical information for internal and external requestors with appropriate authorization.
Performs data entry activities related to compiling statistics for births or deaths. Ensure necessary information is entered into the online database for the state. Regularly collects, organizes and accurately records workload data and compiles appropriate reports for the responsible managers.
Assists hospital personnel, funeral directors and county and state representatives in correcting certificates. Persons in this position may be responsible for running data warehouse reports. May work closely with physicians to get their coding clarifications and other records completed so that they can be pushed to the coder for final coding. May work AR Reports as requested. May be required to run reports for CDI and to respond to hospital departments regarding coding status.
MINIMUM QUALIFICATIONS: High School diploma or equivalent. Two years of experience in Health Information Management or related healthcare experience. A Bachelor's degree may be substituted in lieu of experience.
PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.