Chart Clerk Job Description Sample
Chart Analyst/ Charge Entry Specialist - PT
Lincoln Surgical Hospital is an innovative healthcare leader in providing exceptional surgical services for our patients. Our dedicated physicians and staff strive to achieve optimal surgical outcomes in a patient focused atmosphere. We are looking for a Chart Analyst/ Charge Entry Specialist to join our team.
Part time position - 20 hours per pay period (2 weeks), 2.5 hours per day (Monday – Thursday), morning hours.
Analyze patient charts after discharge to verify proper documentation is present for ancillary charges, implants, etc.
Enter applicable medical coding and charges received from all hospital departments
Identify any unusual and/or illegible charges and discuss with proper personnel
Reconcile monthly statements from ancillary providers with tests ordered/charged
Knowledge of clinical practices (operating room and/or patient care areas) is preferred.
Experience with basic accounting/ posting transactions.
Ability to perform mathematic calculations in order to accurately enter the charges.
HIM Chart Prep/Scanning Technician
The HIM Chart Prep/Scanning Technician is to review the paper medical records and prepares for the scanning process. Scans batches and documents to create the paper record.
Reconciles the paper medical records with the hospital census to verify receipt of all records. Examines non-barcoded forms, determines the proper document type, and adds barcode stickers to the forms. This is essential to ensure documents are filed correctly in the electronic record. Examines the quality of each page and stamps illegible documents with the "Poor Quality Original "stamp".
High school diploma required.
Knowledge of medical terminology preferred.
Detail oriented. Must be courteous and exhibit very good communication skills.
Must be able to exercise judgment, compassion, honesty, and respect for others in performance of job duties. Must be able to work independently with attention to detail and accuracy. Present self in a positive manner as reflected by personal attire and etiquette.
Southside Regional Medical Center is an equal employment opportunity employer. Qualified applicants are considered without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, genetic information, disability, veteran status, or any other characteristics protected by law.
Chart Specialist-Agh Him-Full Time
Employment Status: FT
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Preparation Core Competencies:
1.Reconcile paper records with departmental documents to verify receipt of all records.
2.Confirm patient name, medical record number, and account number on every page in the record, front and back.
3.Identify and tape any torn edges.
4.Mount and tape down any sheets less than 8.5 by 11 inches on an 8.5-by-11-inch sheet.
5.For sheets with rhythm strips or other mounted documents, tape down the top of the strip so it does not catch in the automatic document feeder (if you will be scanning in "Portrait" mode).
6.Remove all staples.
7.Put tape over sticky materials.
8.For any documents on card stock or manila, such as Kardex or ambulance run sheets, make a photocopy before scanning.
9.Arrange multipage documents in date order, either chronological or reverse chronological, per department guidelines.
10. Ensure all pages are in the same proper orientation.
11. If a document is identified as likely to result in poor image quality once scanned, photocopy the document, adjusting the copy contrast (lightness/darkness). This may help improve the quality of the scanned image. If improvement is not noted, follow departmental guidelines for processing poor-quality originals.
12. Once all documents are prepped for scanning, bundle them together. Set them aside until you are ready to deliver them to the scanning staff.
Scanning Core Competencies:
1.Perform daily maintenance of the scanner
2.Calibrate the scanner for proper image quality
3. "Fan" the stack of documents to be scanned in order to make sure the documents separate easily and that any previous hole punches or stapled pages do not stick together. Purpose: Reduce the number of automatic document feeder misfeeds.
4.Once records are scanned, remove them from the scanner's out tray. Begin process of verifying the quality and accuracy of the scans. With the records face up, view the hard copy and the scanned image to confirm all images can be read and all pages were captured. This can be done by flipping through the hard copies as you verify each image, page by page. Purpose: Reduce the number of rescans as a result of poor image quality or skipped pages.
5.As images are reviewed, change the rotation, switch sides, etc., as needed. For example, documents that are typically viewed "landscape" should be rotated so they present to the end user in landscape mode. If a document was sent through the scanner so that the back page was scanned as the front page, switch sides to put the images in the appropriate order. Purpose: Improve the readability and use of the images by the end user.
6.If an image is identified to be of poor quality, adjust sensitivity or use the copy machine to enhance the quality of the document to be scanned. Purpose: Reduce the number of records returned for rescan as a result of poor image quality.
Quality Control/Validating Core Competencies
1 Determine the readiness of the batch for the quality control process.
2 Locate the electronic document for verification against the paper batch.
3 Review each image in the batch and verify the following:
a) Correct patient name and FIN
b) Proper indexing level (encounter, section)
c) Image quality (readable, orientation, multiple sides, etc.)
4.For each page scanned or indexed with errors
a) Rearrange out of order images
b) Relocate electronic images that are incorrectly filed in another document
c) Relocate electronic images that have are incorrectly filed in an encounter
d) Replace electronic images that have unacceptable image quality e) modify the indexing as appropriate
Analysis Core Competencies
1 Analyze all encounter types for accuracy and completeness of the medical record.
2 Assign deficiencies to each medical record as appropriate.
3 Performs concurrent and/or discharge analysis on every inpatient, outpatient, emergency room and ambulatory surgery, patient medical record in accordance with JCAHO Standards for completeness and accuracy of documentation.
Birth Certificate Core Competencies
1.Completes a birth certificate for every newborn patient admitted daily.
2.Maintain proficiency in understanding Louisiana Law as it pertains to birth certificate completion.
3.Fax Birth Announcement consent to The Daily Advertiser to meet legal requirements.
4.Route completed birth certificates to physician's office for his/her signature.
5.Download all electronic birth certificates to Vital Statistics through the state's system.
6.Complete hearing screen data information for the Department of Health and Hospitals.
7.Maintains birth log daily.
8.Mail completed birth certificate to the Department of Vital Records.
9.Complete all birth verifications when needed.
Clerical Core Competencies
1 Greets visitors and controls the flow of traffic through the department.
2 Answer all incoming telephone calls and routes them appropriately.
3 Monitors activity of the fax and copy machines and insures proper working conditions.
4 Process and mail copies of dictation to respective physicians.
5 Completes requisitions for in-house request within a fifteen-minute turnaround time.
6 Visits in-house patient as part of requisition completion when an authorization must be completed.
7 Responsible for processing requisitions from outside facilities when the patient is in-house.
Other Core Competencies
1 Pickup all in-house and/or or discharged medical records from the inpatient units and various departments for processing.
2 Research all missing in-house and/or discharged patient charts to assure accuracy of the imaging process.
3 Files all imaged in-house and/or discharged patient charts in the appropriate location for later destruction.
4 Assist physicians during chart completion using the electronic chart completion system when requested by a physician.
5 Print copy of chart for physician requesting paper chart for completion of dictation.
6 Maintain computer error log.
7 Distributes department mail to the appropriate area, as well as sorting of mail generated by the department within the mailroom.
8 Maintains Discharge List in order to account for medical records within Health Information Management.
9 Maintain Discharge List to assure every discharge patient chart is scanned/indexed into imaging system.
10 Verifies accuracy of the admission and discharge lists.
11 Monitors the Cerner system for duplicate CPI numbers and eliminates from the system.
12 Provide funeral homes personnel with time of death and the physician who pronounced the patient.
13 Process/routes dictation to the appropriate medical record.
14 Researches dictation within the transcription and imaging system.
15 Monitors the printer in the transcription area every fifteen minutes for any Pre-op History and Physical that is transcribed.
16 Consistently work quality queues to ensure complete and accurate processing of all transcribed reports. Maintain high quality standards when performing job duties.
17 Completes any special assignment as determined by the Supervisor.
18 Understand the importance of ensuring a complete medical record as a true legal document.
19 Maintains patient confidentiality by following LGMC and HIM department procedure concerning release of information as well as local, state and federal regulations.
20 Respects and practices the Health Information Management Code of Ethics.
21 Upholds the guidelines and continuing education of Corporate Compliance as outlined in the policies and procedures of the HIM Compliance Plan.
22 Equally participates in performing a coworker's duties when absence is required.
23 Adheres to and supports HIM and hospital policies and procedures.
24 Participates in required departmental meetings and in service education.
25 Adheres to Medical/Dental Staff Bylaws for maintaining an accurate, complete and legible medical record.
Experience in health information management department preferred
Good oral communication skills
Basic computer skills preferred
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must comply with all SERVICE Standards of Behavior
Responsible for abstracting and transcribing detailed clinical information from paper or other electronic medical records (EMRs) into the Cerner Ambulatory EMR for various clinics within EvergreenHealth.
Reviews abstraction procedures specific to each clinic for existing and newly acquired clinics.
Conducts medical chart information abstraction from the existing patient record (paper or non-Cerner EMR) and transcribes into the Cerner Ambulatory EMR system.
Participates in abstraction team and project meetings.
Ensures all confidential information and materials are handled properly and remain secure.
License, Certification, Education or Experience:
REQUIRED for the position:
High school diploma or equivalent.
Clinical chart review and/or patient record data abstraction experience
Experience with clinical medical records
Solid computer skills and skill using dual monitors for working between multiple databases
Working knowledge of medical terminology
An in-depth understanding of the meaning and organization of patient records
Attention to detail and ability to follow precise instructions
Ability to perform accurate data entry
Excellent interpersonal, verbal and written communication skills
Ability to organize and track completed work
Maintains full knowledge of HIPAA regulations
A general understanding of the relationship between patient records and the service to be provided to providers, clinical staff and diverse groups as the hospital business offices, insurance companies, etc.
DESIRED for the position:
Bachelor's degree in a clinical healthcare or related field
Experience with popular healthcare Electronic Medical Record software, such as Centricity, Allscripts, Greenway, Nextgen, EPIC and Cerner.
Apply here: Are you a current EVERGREENHEALTH employee? Yes No
X This position is open for internal candidates only.
Chart Retrieval Specialist - Telecommute In Oklahoma City, OK
Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM
Employees in this position will work on - site or virtually as an extension of the local quality and provider teams by aligning to geographical regions, medical centers and / or physician practices that manage a high volume of UHC Medicare & Retirement membership.
Assist in the review of medical records to highlight Star opportunities for the medical staff.
Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities.
Locate medical screening results / documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data.
Track appointments and document information completely and accurately in all currently supported systems in a timely manner.
Optimize customer satisfaction, positively impact the closing of gaps in care and productivity.
Partner with your leadership team, the practice administrative or clinical staff to determine the best strategies to support the practice and our members.
Interaction with UHC members via telephone to assist and support an appropriate level of care.
This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities.
Answer inbound calls from patients and / or providers regarding appointments.
Communicate scheduling challenges or trends that may negatively impact quality outcomes.
Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs.
Provide ongoing support and education to team members and assist in removing barriers in care.
Manage time effectively to ensure productivity goals are met.
Ability to work independently in virtual setting. Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise.
Identify and seek out opportunities within one's own work flow to improve call efficiency.
Adhere to corporate requirements related to industry regulations / responsibilities.
Maintain confidentiality and adhere to HIPAA requirements.
Data analysis required for multiple system platforms to identify open quality opportunities to address on a member or provider level
Appointment coordination for specialist appointments, late to refill medication outreach and scheduling members for local market clinic events
Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts.
Field based activities require the abilities to support appropriate targeted providers.
Concentrate on outreach to hard to reach / hard to contact UHC members of any assigned population based on need, and priority as assigned.
Out read via telephonic inquiries using a UHC member list and initiates steps to assist members regarding issues relating to quality and appropriate levels of care. This may include making outbound calls to members and / or providers to assist in scheduling appointments, closing gaps in care or chart collection activities.
Other duties, as assigned.
High School Diploma / GED (or higher)
2 years of telephonic customer service experience.
1 year of a healthcare background with medical terminology familiarity of clinical issues.
1 year of working experience with Microsoft Tools: Microsoft Word (creating memos, writing), Microsoft Outlook (setting calendar appointments, email) and Microsoft Excel (creating spreadsheets, filtering, navigating reports).
1 year of working experience with and knowledge of HIPAA compliance requirements.
Previous knowledge and experience with EMR and HEDIS
Ability to travel up to 25% of the time throughout Oklahoma City and surrounding areas.
1 year of working experience with ICD - 9 / 10 and CPT Codes.
Experience working in a physician, provider, and / or medical office.
Previous experience working as a Medical Assistant or LPN
Strong data entry skills, with a typing speed of at least 45 - 50 WPM.
Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities.
Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop a trust and respect.
Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s).
Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
Good Attendance Record
Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords: Optum, Oklahoma City, OK, performance, clinical, community, health, worker, telecommute
Registered Nurse (Rn) - Chart Review
Job responsibilities include but are not limited to the following:
- Analyze, review, and report on charts, charting trends, as well as quality indicators for closing gaps in care.
- Monitor and report compliance to all clinical documentation policies and protocols.
- Resolve any charting issues or problems with documentation and review with the physicians and Director UR/QA.
- Assist the UR/QA department with audits in the offices as assigned
- Participate as a consultant in chart review tools, standards of care, and outcome measures.
- Assist the UR/QA department in educating and monitoring other clinical staff as needed.
Qualifications include being a licensed RN with one year of medical-surgical experience or chart review experience. Accurate data entry skills, excellent communication skills and knowledge of standards of care and medical terminology.
Chart Preparation - Full Time- Bushwick
Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages 36 locations throughout Long Island, NYC including the 5 boroughs, Westchester, Buffalo/Niagara Falls, and NJ. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice. We continually strive to support these practices by recruiting and retaining the most qualified and dedicated individuals. HPM provides an excellent path for personal and professional growth, along with competitive salary and benefits. Health Plus Management is currently seeking a Medical Receptionist in our Bushwick location. This is an excellent opportunity for anyone who is looking for a long term position with outstanding growth potential.
Monday- Friday: 8:00am- 4:30pm
Motivated individuals who possess the following characteristics are our ideal candidate:
- Create chart folders (includes adhering of all labels and hole punching)
- Pull charts daily for patients who are scheduled
- Review charts to make sure all patient demographics information is complete and accurate
- Make sure that the date of service is stamped on the progress note
- Responsible for reviewing all charts prior to the doctor's appointment to ensure that all medical records are on file
- Pull patient files for scheduled appointments and/or walk-in patients as requested
- Prepare patient charts to include demographic information, previous x-rays, tests, etc.
- Obtain records from outside sources for preview prior to the office visit
- Collect all necessary paperwork and authorizations needed for billing
- Scan information to patient's electronic record
- Schedule and confirm appointments
- Ability to multitask and remain organized
- Have excellent customer service skills and quality focus
- Telephone and computer skills
- Attention to detail
Health, Dental, Vision, Life insurance, Short term and long Term disability, EAP program, PTO
Chart Recovery Specialist – HIM Document Imaging – Maitland
Chart Recovery Specialist – HIM Document Imaging – Maitland
AdventHealth Maitland seeks to hire a Chart Recovery Specialist who will embrace our mission to extend the healing ministry of Christ.
Located north of Orlando in the community of Altamonte Springs, our facility is consistently named "Best Hospital" for overall quality, reputation, doctors and nurses by local residents. As the largest satellite campus within the AdventHealth system, AdventHealth Altamonte has been providing state-of-the-art healthcare to the community since 1973. The 398-bed hospital cares for more than 168,000 patients a year. We are proud to be revolutionizing health care with visionary leadership and world-class resources.
Health Information Management's Document Imaging strives to scan the patient health records into our electronic system in a timely manner for continuation of care in regards to our patient population. Document Imaging's streamlined processes ensure the quality and integrity of our medical records through their lifecycle. With today's demand for electronic health records, it is an exciting time to be a member of AdventHealth's Document Imaging team.
Sunday - Thursday 11:30p – 8:00a
The Chart Recovery Specialist under the supervision of the Chart Recovery Supervisor performs all activities involved with the pick up and retrieval of discharged patient medical records and reports from the patient care areas. Adheres to the AdventHealth policies and procedures, to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
Knowledge, Skills, Education, & Experience Required:
Ability to maintain schedule under time constraints.
Basic PC knowledge
Microsoft Windows (preferred)
One year of college with some emphasis in typing, filing, medical terminology and/or previous experience in HIM, document imaging or general office procedures (preferred)
Licensure, Certification, or Registration Required:
- Valid Florida Driver's License and current auto insurance
Demonstrates through behavior AdventHealth's Core Values of Keep Me Safe, Love Me, Make it Easy, and Own it as outlined in the organization's Performance Excellence Program.
Accurately identifies destination of chart and/or loose report on patient care unit.
Utilizes designated discharge log on units to verify receipt of all charts.
Follows up with appropriate unit staff to identify charts not received, documents action and contact person.
Utilizes appropriate coversheets to distinguish charts as outpatient, priority and thinned charts.
Daily follow up and search of missing charts noted on the missing chart list.
Communicates effectively with nursing staff for inquires on location of records and/or missing charts.
Adheres to the defined schedule and expectations as determined by HIM Management.
Communicates any chart discrepancies or irregularities to management.
Performs other duties as assigned.
If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Chart Recovery Specialist opportunity with AdventHealth Maitland and apply online today.
Chart, Administrative, Records, Maitland
Position Location: Maitland
Job: Administrative / Business Support
Organization: AdventHealth Central Florida
Primary Location: US-FL-Maitland
Job Level: Entry Level
Education Level: None
Travel: Yes, 25 % of the Time
Job Posting: Jun 20, 2019, 1:08:08 PM
File Clerk Urologic Oncology At Celebration FT Days
File Clerk - AdventHealth Medical Group
Location Address: 410 Celebration Place, Suite 200, Celebration, FL 34747
Top Reasons To Work At AdventHealth Medical Group
Faith based & mission driven organization
Central Florida's premier multi-specialty medical group
Comprehensive Employee Benefits such as Educational Reimbursement
CREATION Health employee wellness and lifestyle programs
Positive working climate to support a work life balance
Work Hours/Shift: Full Time / Day
You Will Be Responsible For:
Takes accurate and legible messages, which include time, date and initials.
Assists with the creation of charts for new patients prior to patient's arrival with proper color codes and labels.
Attaches/inserts appropriate forms (encounter forms, medication lists, progress notes, etc.) to charts.
Pulls next day's charts nightly, attaching/inserting appropriate forms.
Pulls charts for messages or prescription refills and delivers chart and message to appropriate person in a prompt manner.
Files reports, lab reports, dictations, x-rays and correspondence daily.
What You Will Need:
High school graduate or equivalent.
In the event a minor, aged 16 or older is selected for the position, their continued enrollment in high school, trade school or college constitutes "equivalent"
General clerical experience with previous exposure to medical records
Experience with computers and MEDIC software preferred.
Must be willing to float to other AdventHealth Medical Group practices, within reason, when patient load, vacation schedules etc. make it necessary.
The File Clerk under the direction of the Office manager is responsible for providing a variety of clerical and filing duties including the filing of reports into charts and charts into files in the office. Working in all areas of the front office, assisting with patient registration, and scheduling of appointments as needed. Serves as liaison between patient and medical support staff.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Bakery Clerk Job
BJ's Wholesale Club was the first retailer to introduce the warehouse club concept in the northeastern United States. Today, we're a multibillion dollar operation with more than 200 clubs in 17 states from Maine to Florida.
While our Members know us for helping them save up to 25% off grocery prices every day, our Team Members love us for providing a supportive and engaging workplace that's committed to developing great talent.
If you're a motivated and enthusiastic person who enjoys working collaboratively and is committed to providing great service for our Members, we want to hear from you. BJ's offers a fast-paced, team environment with great training opportunities and competitive salary and benefits packages to help you succeed.
Packages, displays, rotates, and stores bakery products, including freshly baked and prepackaged goods. Prepares items to bake in accordance with bakery production charts. Provides assistance to Members. Maintains all cleaning and safety standards within the bakery department.
Major Tasks, Responsibilities, and Key Accountabilities
Provides a high level of customer service to Members. Answers questions and recommends bakery items. Answers Member calls and takes bakery orders.
Packages freshly baked goods, including cookies, Danish pastries, muffins, rolls, breads, pies, cakes, and other items as needed. Unpacks bakery goods from the freezer. Displays proper amounts based on bakery production chart recommendations.
Prepares items to be baked based on bakery production charts using oven racks, trays, and/or other equipment. Operates and handles bakery equipment using proper work methods in accordance with safety policies and procedures.
Receives, inspects, and stores bakery shipments. Rotates and stores bakery products following food safety, food freshness, and product handling policies and procedures.
Ensures that all products are fresh and meet company quality standards. Checks for out-of-date products daily and follows salvage and stale product policies and procedures.
Generates labels and price tickets for bakery goods and performs price check functions when necessary. Ensures all items are accurately priced.
Cleans and sanitizes equipment, display fixtures, and food surfaces in the bakery, including ovens, cooking utensils, refrigerated cases, display racks, and tables.
Assists with baking and cake decorating as necessary.
Maintains all club policies and procedures.
Performs other duties as assigned, including working in other departments as needed.
Experience working in a bakery or customer service oriented environment preferred.
Knowledge of bakery products preferred.
At least 18 years of age.
Environmental Job Conditions
Most of the time is spent moving about non hard surfaces. There may be a need to occasionally position oneself to examine or scan merchandise, which can require bending, handling, pulling, reaching, pushing and/or stooping.
Frequently requires lifting objects up to 30 pounds. May require lifting and moving heavy and/or awkward objects greater than 30 pounds with assistance.
Located in a comfortable indoor environment with frequent exposure to temperature extremes from freezers, ovens, and/or coolers. There may be frequent exposure to cleaning agents.
BJ's Wholesale Club is committed to a policy of equal employment opportunity for all qualified team members and applicants for employment without regard to race, religion, color, sex, sexual orientation, age, ancestry, national origin, physical and/or mental disability, genetic information, atypical cellular or blood trait, marital and/or familial status, pregnancy, gender identity and expression, military or veteran status, or any other characteristics protected by applicable law.
Nearest Major Market: Charlotte
Nearest Secondary Market: Concord
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