The role of the Electronic Medical Records (EMR) Abstraction Specialist is responsible for reviewing paper medical record for pertinent information (i.e. patient allergies, medications, past medical history, family/social history and procedures) that will be abstracted for the electronic medical record. Enters information found into the electronic medical record (EMR) software. Reports to the Director of Health Information Management and/or the Medical Records Manager.
Uses and discloses patient protected health information: 1) Only as it applies to job functions, 2) in amounts minimally necessary for intended purpose, and 3) in a confidential manner.
Principle Duties and Responsibilities
Essential Job Functions
Reviews and analyzes paper medical records to identify pre-defined, pertinent patient information for abstraction into the EMR.
Performs accurate and complete abstraction of patient medical records following EMR abstraction guidelines.
Consults with provider staff and/or EMR Abstraction Lead if questions arise regarding information to be abstracted.
Performs accurate scanning of identified documents into appropriate section of the EMR as needed
Participates as a team member and providesleadership to colleagues, students and other team members to ensure that workloads are distributed fair and equal and that our number one goal of providing excellenceof service and care to our patients and their families is accomplished every day.
Consistently and reliably works scheduled hours.
Willingly shares and promotes expertise and teamwork with fellow members and assists in the orientation of new staff.
Consistently seeks ways to improve work procedures and methods to increase effectiveness and efficiency in the organization.
Committed to conducting all behavior with integrity and high ethical standards.
Communicates with patients, families and team members in a manner which promotes dignity and respect.
Performs other duties as may be assigned by management.
Maintains patient confidentiality.
Maintains professional demeanor at all times.
Attends and participate in staff meetings.
Attends any educational seminars requested.
16. Read and comply with the Network Policies and Procedures and Personnel Policies as stated.
Understands and demonstrates compliance with HIPAA regulations.
18. Understands and demonstrates the twelve (12) behavior standards for “Embrace the Spirit”.
19. Understands and demonstrates the seven (7) “Standards of Conduct” as defined in “Our Values and Ethics at Work” reference guide.
High school graduate or equivalent.
Certified Medical Assistant, Licensed Practical Nurse or Apprentice Coder
Experience or Pre-Requisites:
1.Knowledge of medical terminology.
2.Knowledge of proper grammar, spelling and punctuation.
3.Knowledge of Microsoft Office software, such as Word, Excel and Outlook.
4.Ability to spell and alphabetize.
5.Good listening and communication skills.
6.Good telephone and customer service skills.
7.Previous medical office experience preferred.
8.Strong computer background.
9.Familiarity with health insurance plans, including Medicare, Medicaid, and managed care helpful.
10.Good vision and hearing.
11.Strong attention to detail.
Demonstrates a commitment to service, hospital values and professionalism through appropriate conduct and demeanor at all times.
Adheres to and exhibits our core values:
Profound respect and awe for all of creation, the foundation that shapes spirituality, our relationships with others and our journey to God.
Moral wholeness, soundness, fidelity, trust, truthfulness in all we do.
Solidarity with one another, capacity to enter into another's joy and sorrow.
Preeminent performance, becoming the benchmark, putting forth our personal and professional best.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers
Administrative and Clerical
NE-Lincoln-The Physician Network
Scheduled Hours per 2-week Pay Period
For Catholic Health Initiatives (CHI), returning sick people to good health is more than a business -- it's a mission. Formed in 1996...