SUMMARY:
Under the direction of the Medical Records/HIM Director, the HIM Processing Associate is responsible to collect, compile, process, store, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system.
Organize, prioritize, locates, pulls, assembles, scans, indexes, quality checks, tracks both electronic and paper records, and sees to the appropriate transport of records requested by other departments in accordance with established standards.
Fills in other HIM Areas when needed.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES:
KEY RESPONSIBILITIES:
Collects all current and previous medical records of discharged patients from all service areas within 24 hours of discharge.
Print &Reconcile Daily Discharge List in alpha order
Expired patients/Death Certificates
Contact Unit for missing discharges-continue process until all have been retrieved-Complete Missing Record Tracking sheet if necessaryssociated emails/process
Attach loose documents/ Remove Duplicates/Blanks
Review for Advance Directives-bring forward if necessary.
Incorporate Consents - check Meditech to ensure Formfast archived
Verify Patient information is correct
Assemble records in order by service delivery
Review record for completeness, authentication and presence of all test results and documentation
Validate Discharge Transfer Orders (IP &DSU Records)
Enter deficiencies in Meditech from A &A and requested by coding team.
Create Temporary Folders for Incomplete process
Maintain incomplete records in TDO order by physician
Complete secondary analysis
Check PDOCs/Dictation
Reviews and updates deficiencies as incomplete charts are processed and complete by providers
Scanning- All records will be scanned into Meditech
Indexing/Quality Assurance-All records will be reviewed and indexed to ensure crossover
Telephone/Faxing/Walk-ins/Death Certificates/Healthcare Proxiesll other duties as assigned.
Answer telephonessists coworker during periods of heavy workloads
Faxes-check for Release of information requests/process on off hours
Review Admission Notices for HPC/DNR –Record Level View and 6.0 to 6.1
Pull Charts as needed (rarely required)
Copy Transfers as needed
Re-file records (rarely required)
Sane Kits-log and file
Order charts off-site storage - Give to Correspondence to obtain from ACCESS
Retrieve HCP from Admitting-prep and index if required
Death Certificates from Admitting-attach to appropriate record
Put away supplies
Purge shelves when appropriate/shred paper records
Presents a courteous and helpful demeanor, appropriate for all ages, to all patients, visitors and other Steward employees/medical staff members, or any other person an employee encounters while representing Steward Health Care.
Handles interruptions in a skillful way.
Must be familiar with Steward and Hospital policies and procedures.
Complete mandatory education in Steward University as required and timely.
Refers any potential medical/legal issues to the Director and Risk Management in a timely manner if necessary.
MINIMUM QUALIFICATIONS:
REQUIRED QUALIFICATIONS:
Knowledge of Medical Terminology
Previous office experience preferably in a hospital setting preferred
Is cooperative in interactions, treating customers with courtesy, respect, and compassion.
Communicates effectively with internal and external customers with the respect of differences in culture, values, beliefs, and ages.
Is patient when responding to questions and answers questions appropriately
Responds to requests in a timely manner
Handles interruptions in a skillful way
Manages a professional appearance and demeanor
Strives to prevent/resolve customer concerns to the customer's satisfaction.
Respects patient/customer privacy and confidentiality .
Accepts responsibility and accountability for own actions with appropriate follow through. Fulfills commitments
Constantly presents a positive attitude in working with internal and external customers
Is responsible for ongoing development of his/her work skills through the use of available resources (i.e.: inservices, formal educational programs, other work groups and on-the-job training).
Attends and participates in staff meetings and inservices and/or reviews documentation as required.
Assists in the orientation of others and actively participates in mentoring.
Performs analytical and decision-making functions with minimal supervision.
Recognizes and seeks assistance/consultation when appropriate.
Demonstrates an understanding of relative Hospital and all-departmental policies and procedures including safety issues.
Possesses awareness of programs/services provided by Hospital and where they are located
EDUCATION:
High School Diploma or Equivalent
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the main duties and responsibilities of this job.
The employee will perform or have exposure to the following 75% or more:
Talk or hear
The employee will perform or have exposure to the following 25 - 50%:
Stand / walk
Use hands to finger, feel, reach with hands and arms, climb, or balance
Stoop, kneel, crouch, or crawl
Taste or smell
Lift up to 25lbs
Vision Requirements:
Close vision
Distance vision
Peripheral vision
Ability to adjust focus
Pay Range:
$17.55-$25.57
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location:
Saint Annes Hospital - 795 Middle Street Fall River, Massachusetts 02721
Work Type:
30 hr/wk, M-F
Work Shift:
Evening
Driving Required:
No
Union:
1199 Seiu United Healthcare Workers East