Medical Record Specialist
Company: Lancaster General Health
Posted on: August 14, 2019
CompanyLancaster General HospitalCost Center9020 HIM-Medical Record
ServicesSupervisory OrganizationHealth Information Management
Medical Record ServicesGradeSummaryPOSITION SUMMARY:? To analyze
patient charts for deficiencies, and either complete chart or
assign deficiencies to providers. Serve as primary contact person
for physicians in the completion of the electronic medical record.
Compile, process, and maintain medical records of the hospital and
its entities in a manner consistent with medical, administrative,
ethical, legal and regulatory requirements of the health care
system. Provide exceptional customer service by answering telephone
calls and handle requests for medical records.ESSENTIAL FUNCTIONS:
Qualified individuals must have the ability (with or without
reasonable accommodation) to perform the following duties:
- Analyzes scanned records for chart deficiencies and assigns
deficiencies per applicable regulations. Review all work ques and
reassigns deficiencies to ensure timely completion of patient
- Verifies that the History and Physical referenced is complete
and accurate based on the Rules and Regulations.
- Prepares and distributes documents such as physician reminder
notices, and suspension lists.?
- Review the demographic data for all portions of the record that
are analyzed and report errors identified through OnBase
- Maintain confidentiality of all patient records and personal
information according to HIPAA guidelines.? Assist patients and or
physicians with medical records requests.?
- Performs related clerical duties such as photocopying,
scanning, answering telephones, chart analysis in EMR, knowledge of
EPIC, Microsoft Office.? Knowledge of various types of imaging
software. Oversee incoming faxes, interoffice mail, log and
maintain Fetal Monitoring Strips. Organize and prioritize work
tasks.? Prepare FedEx deliveries.
- Knowledge of Healthcare Effectiveness Data and Information Set
(HEDIS) measures and domains for participation in medical and chart
audits when requested.
- Provide excellent customer service by being courteous,
attentive and respectful to all patients, callers, and visitors as
well as Penn Medicine Lancaster General Hospital employees/medical
staff members.? Insures understanding of customer requests and
follow through, while being proactive in identifying concerns or
problems.? Resolve customer service matters in a polite and timely
- Monitor the accuracy and appropriate maintenance of medical
records on every patient insuring compliance with rules and
regulations of state agencies, Joint Commission on Accreditation of
health organization and medical staff bylaws.SECONDARY FUNCTIONS:
The following duties are considered secondary to the primary duties
- Assure continuous professional development of self and staff by
attending Health Information Management and Medical Records
Services meetings, lunch and learn seminars and training classes
(Continuous improvement, Excel, etc) as scheduled. Adhere to
facility standards concerning conduct, dress, attendance and
- Ability to adapt to new processes, multi-task and respond to
difficulty and challenging situations in a professional
- Works within scope of position and direction with minimum
supervision; willingly accepts assignments and is eager to take on
- Demonstrates ability to successfully adapt and perform during
times of high volumes and/or high patient acuity census.?
Demonstrates skill to services both hospital and physician office
staff.JOB REQUIREMENTSMINIMUM REQUIRED QUALIFICATIONS:
- High School Education or equivalency.
- One year work experience in an office required, preferably a
- One year of medical records experience is preferred.
- Minimum of one (1) year Microsoft application.PREFERRED
- Registered Health Information Technician (RHIT).COGNITIVE
REQUIREMENTSAttention/Concentration: The following level of ability
is essential for the jobholder to focus on certain aspects of
current experience and reject others.
- The position requires the ability to attend to more than one
aspect of a situation simultaneously. It is highly likely that
multiple task demands are going to be required of the individual at
the same time. Other aspects of the position will require strong
concentration skills.? The individual must have the ability to
voluntarily sustain concentration to a task over an extended period
of time as a result of an effortful and usually deliberate
heightened and focused state of attention.New Learning and Memory:
The following level of ability is essential for the jobholder to
learn and retain material.
- A large portion of this position required reliance on verbal
memory and new learning.? Efficiency in processing of verbal
information, either in written or spoken form, is a major
requirement and prerequisite of the job.? The individual must be
able to attend to and process multiple bits of information
simultaneously.? The individual must be able to organize and
categorize this information effectively so that later recall is
feasible.Problem Solving, Reasoning and Creative Thinking: The
following level of ability that is essential for the jobholder to
think (in order to solve a problem) by combining two or more
elements from past experience or imaginative thought.
- The position required much autonomy of thought and problem
solving.? The individual must be able to apply principles of
logical or scientific thinking to define problems.? The individual
must be able to think abstractly, which is manifested in the
ability to form concepts, use categories, generalize from single
instances, apply procedural rules and general principles, and be
aware of subtle or intrinsic aspects of a problem.? The development
of hypothesis and potential solutions to problems involves careful
interpretation, analysis and diagnosis.? The individual must be
able to collect data, establish facts, and draw valid conclusions.?
The individual must be able to think creatively with a degree of
inventiveness, experimentation and intuition.? They must be able to
deal with a variety of concrete and abstract variables.APTITUDES:?
The following are essential requirements of the position in
relation to job-worker situations.? These items describe how a
worker must adapt, adjust, conform or act.Variety and change:
Ability to perform a variety of duties, often changing from one
task to another of a different nature without loss of efficiency or
composure involving significant differences in technologies,
techniques, procedures, environmental factors, physical demands, or
work situations.EQUIPMENT USAGE REQUIREMENTS Equipment/Tools:
Computer, Phone, Copier, Printer, Fax, Office SuppliesSoftware:
Microsoft Office Products, Epic, Pacscube, Xcelera, Roxio, OnBase,
Fedex-Cardinal OptifreightPHYSICAL REQUIREMENTS Rarely 0-10%;
Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%Body
Position/Movement: ? Sit: Continuously? Stand: Occasionally? Walk:
Occasionally? Bend: Occasionally? Push: Rarely? Pull: Rarely?
Kneel/Squat: Rarely? Reach: Rarely? Twist: Rarely? Balance: Rarely?
Climb: RarelyLifting: Degree of physical exertion is: Moderate,
exerting up to 20 pounds of force occasionally, and/or up to 10
pounds of force frequently, and/or a negligible amount of force
constantly to move objects.Sensory Abilities specifically required:
? Verbal? Vision? Hearing? Touch/FeelingPHYSICAL ENVIRONMENT
WORKING CONDITIONS: Exposure to hazardous conditions/ materials is
negligible.Disclaimer: This job description is not intended and
should not be construed to be an exhaustive list of all
responsibilities, skills, efforts, or working conditions associated
with the job. It is intended to be a reflection of those principal
job elements essential for recruitment and selection, for making
fair job evaluations, and for establishing performance standards.
The percentages of time spent performing job duties are estimates,
and should not be considered absolute. The incumbent shall perform
all other functions and/or be cross-trained as shall be determined
at the sole discretion of management, who has the right to amend,
modify, or terminate this job in part or in whole. Incumbent must
be able to perform all job functions safely.
Keywords: Lancaster General Health, Lancaster , Medical Record Specialist, Healthcare , Lancaster, Pennsylvania
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