Clinical Coder IV/Acute Care - Medical Records
Charlotte, NC jobs
00153661
Employment Type: Full Time
Shift: Day
Shift Details: Monday-Friday 1st shift
Standard Hours: 40.00
Department Name: Medical Records
Location Details: Onboarding at Arrowpoint, after training able to work remote
Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth
Job Summary
To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership.
Essential Functions
Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes.
Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Reviews charges and Evaluation and Management levels.
Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance.
Abstracts coded data and other pertinent fields in the hospital electronic health record.
Ensures the accuracy of data input.
Meets established quality and productivity standards.
Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management.
Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Physical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.
Education, Experience and Certifications.
High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test.
At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.
As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.
Posting Notes: Not Applicable
Carolinas HealthCare System is an EOE/AA Employer
Specialist in Poison Information, North Carolina Poison Control, Atrium Health FT Airport Center
Charlotte, NC jobs
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Specialist in Poison Information, North Carolina Poison Control, Atrium Health FT Airport Center
Charlotte, NC, United States
Shift: Various
Job Type: Regular
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Auto-ApplySpecialist in Poison Information Atrium Health Poison Center
Charlotte, NC jobs
00104709
Employment Type: Full Time
Shift: Rotating
Shift Details: 5 days per week, every other weekend; second shift, 3P - 11P
Standard Hours: 40.00
Department Name: OPR Poison Center
Location: Therapeutic Research and Devel
Location Details: Airport Center
Our mission is to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit atriumhealth.org/about-us.
Job Summary
Health care professional who provides poison information to consumers and health care providers. Assumes responsibility for obtaining the history of exposure, assessing the severity of toxicity through judgment and interpretation of toxicology.
Essential Functions
Utilizes clinical and communication skills to obtain a history of the exposure, including all aspects of patient condition, agent(s) involved, circumstances, etc., in a timely manner consistent with the severity of the exposure.
Provides poison information on patients of all ages, including infants, children, adolescents, adults and the elderly.
Utilizes information resources appropriately to accurately assess each exposure case. This includes use of computerized data bases, textbooks, primary medical literature, consultants, and previous knowledge and experience.
Formulates an appropriate plan of care (patient disposition) by interpreting and integrating available information.
Implements the plan of care based on established guidelines, case specifics, patient care priorities, health care facility resources, and professional judgment in a timely manner.
Communicates patient information and treatment recommendations as necessary to appropriate health care facilities/providers.
Evaluates the appropriateness of assessment & recommendations documented on the case record by adhering to established follow-up procedures.
Provides non-toxicological drug and medical information to callers within the scope of education and experience as time permits.
Provides initial crisis intervention to callers with other medical or drag problems, or suicidal intentions, with referral to appropriate community agencies.
Refers non-medical callers to appropriate agencies in a professional and friendly manner.
Physical Requirements
Works primarily in the Poison Center. Majority of time is sitting, with frequent telephone use and exposure to computer monitor. May assist in patient evaluation and treatment in the Emergency Department as requested. Must be able to operate telephone, computer and recording device equipment. Each teammate has the responsibility to work in a safe environment.
Education, Experience and Certifications
Graduate from an accredited school of nursing, ACPE accredited pharmacy school, or medical school required. Registered nurse, registered pharmacist, physicianï ½s assistant or physician (MD or DO) required. Two years clinical experience preferred; North Carolina license to practice required. Basic Life Support for Healthcare Provider from AHA required. Obtain certification as a Certified Specialist in Poison Information administered by the American Association of Poison Control Centers (AAPCC) within three examination periods and recertify as required by the AAPCC and North Carolina Poison Control required. Proficiency in Microsoft Office and keyboard skills preferred.
At Atrium Health, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.
As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.
Posting Notes: Not Applicable
Atrium Health is an EOE/AA Employer
HIM TECHNICIAN I
Durham, NC jobs
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.
Occ Summary
Performs specialized health information activities necessary to organize, maintain, and use electronic patient health records. Positions at this level have high customer service, strong analytic and problem solving skills, require interpretation and explanation of policy and internal requirements related to health record documentation and completion, Medical Staff Bylaws, Rules and Regulations and organization-wide functions and policies and procedures. Specific job responsibilities are based on the service unit within Health Information Management assigned and include: Performs HIPAA compliant screening of incoming requests for protected health information of our patients, distribution of medical records, deficiency management to assure compliance with federal and state regulatory and accrediting body requirements for health record content and timely completion and document management to include the capture of health records in an electronic format. Excellent computer skills are required to complete basic to intermediate tasks within Maestro Care, Solarity, Hyland OnBase and other related applications.
Work Performed
Document Management Functions: Maintains the integrity of the Clinical Data Repository (CDR) with super user knowledge and general understanding of workflows between Hyland OnBase, Solarity and Maestro Care related to scanned document archival. Release of Information Functions: Manages tasks associated with the HIM Customer Service office to include greeting visitors, providing guidance for requesting medical records, completing the authorization for disclosure, verifying patient/personal representative authority/identify and facilitates same day customer service by coordination with the HIM team. Deficiency Management Functions: Analyzes electronic medical records to ensure compliance with regulatory requirements, Medical Staff Bylaws, and Duke Policy. Assists providers in completing deficiencies by clarifying the deficiency or explaining the record completion process within Maestro Care. Performs other duties as assigned.
Knowledge, Skills and Abilities
Good organizational skills, excellent investigative/analytic skills with detail orientation, and strong follow through capabilities. Excellent verbal and written communication skills in order to effectively problem solve, develop working relationships and assist system users. Must be able to meet deadlines, work independently, set priorities and maintain confidentiality. Ability to multi-task and work with a high degree of accuracy and recall. Ability to train and interact with physicians. Ability to work calmly and efficiently in high pressure situations. Intermediate
Level Characteristics
Good organizational skills, excellent investigative/analytic skills with detail orientation, and strong follow through capabilities. Excellent verbal and written communication skills in order to effectively problem solve, develop working relationships and assist system users. Must be able to meet deadlines, work independently, set priorities and maintain confidentiality. Ability to multi-task and work with a high degree of accuracy and recall. Ability to train and interact with physicians. Ability to work calmly and efficiently in high pressure situations. Intermediate
Minimum Qualifications
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Education
High school or GED diploma required
Experience
2 years of experience in Health Information Management, Document Management, or Healthcare Related Field required Associates / Bachelors Degree in Healthcare, Business, IT, or Related Field can substitute for 2 years' experience Associates Degree in HIT preferred
Degrees, Licensures, Certifications
N/A
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
HIM FIELD CODER
Wilmington, NC jobs
Liberty Cares With Compassion At#Liberty Home Care,#we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients. We are currently seeking an experienced: HIM FIELD CODER Full Time (North Carolina#Based) Job Summary: Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy.# Entering codes into facility EHR within a 24 business hours following resident admit. Completes LHM home health and hospice intake coding as assigned.# Entering codes into EHR within 24 business hours following notification. Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement. Serve as an ICD coding resource, responding to staff questions concerning ICD coding in a timely manner. Works with other departments as needed to improve documentation quality and/or to improve the processes which are related to accurate ICD code assignment. Assist with training of staff on ICD coding. Attends educational sessions pertinent to ICD coding to ensure competency in LTC, home health # hospice coding. Performs other duties as assigned. Job Requirements: Must be a high school graduate Must be a Registered Health Information Administrator/RHIA (BS) or Registered Health Information Technologist/RHIT (AAS), AHIMA Certification required Extensive knowledge of ICD-10-CM coding required 1-3 years of relevant coding experience in the LTC and/or home health and hospice setting preferred Knowledge of Medicare/Medicaid regulations preferred Must be dependable, flexible, and able to work and cooperate well with staff and have understanding, patience, and tact in working with practitioners and others. Must be able to prioritize work assignment and complete duties within specified timeframe, but also be flexible to adapt to changing priorities. Excellent computer skills Must have a valid N.C. driver#s license. Must have neat professional appearance at all times. Visit *********************** for more information. Background checks/drug-free workplace. EOE.
Liberty Cares
With Compassion
At Liberty Home Care, we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients.
We are currently seeking an experienced:
HIM FIELD CODER
Full Time
(North Carolina Based)
Job Summary:
* Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days.
* Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy. Entering codes into facility EHR within a 24 business hours following resident admit.
* Completes LHM home health and hospice intake coding as assigned. Entering codes into EHR within 24 business hours following notification.
* Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement.
* Serve as an ICD coding resource, responding to staff questions concerning ICD coding in a timely manner.
* Works with other departments as needed to improve documentation quality and/or to improve the processes which are related to accurate ICD code assignment.
* Assist with training of staff on ICD coding.
* Attends educational sessions pertinent to ICD coding to ensure competency in LTC, home health & hospice coding.
* Performs other duties as assigned.
Job Requirements:
* Must be a high school graduate
* Must be a Registered Health Information Administrator/RHIA (BS) or Registered Health Information Technologist/RHIT (AAS), AHIMA Certification required
* Extensive knowledge of ICD-10-CM coding required
* 1-3 years of relevant coding experience in the LTC and/or home health and hospice setting preferred
* Knowledge of Medicare/Medicaid regulations preferred
* Must be dependable, flexible, and able to work and cooperate well with staff and have understanding, patience, and tact in working with practitioners and others.
* Must be able to prioritize work assignment and complete duties within specified timeframe, but also be flexible to adapt to changing priorities.
* Excellent computer skills
* Must have a valid N.C. driver's license.
* Must have neat professional appearance at all times.
Visit *********************** for more information.
Background checks/drug-free workplace.
EOE.
Specialist in Poison Information, North Carolina Poison Control, Atrium Health FT Airport Center
Charlotte, NC jobs
Department:
85215 Greater Charlotte Research and Other Sponsored Programs - Academic Poison Center
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
3P - 11P, every other weekend.
Pay Range
$37.50 - $56.25
Essential Functions
Utilizes clinical and communication skills to obtain a history of the exposure, including all aspects of patient condition, agent(s) involved, circumstances, etc., in a timely manner consistent with the severity of the exposure.
Provides poison information on patients of all ages, including infants, children, adolescents, adults and the elderly.
Utilizes information resources appropriately to accurately assess each exposure case. This includes use of computerized data bases, textbooks, primary medical literature, consultants, and previous knowledge and experience.
Formulates an appropriate plan of care (patient disposition) by interpreting and integrating available information.
Implements the plan of care based on established guidelines, case specifics, patient care priorities, health care facility resources, and professional judgment in a timely manner.
Communicates patient information and treatment recommendations as necessary to appropriate health care facilities/providers.
Evaluates the appropriateness of assessment & recommendations documented on the case record by adhering to established follow-up procedures.
Provides non-toxicological drug and medical information to callers within the scope of education and experience as time permits.
Provides initial crisis intervention to callers with other medical or drag problems, or suicidal intentions, with referral to appropriate community agencies.
Refers non-medical callers to appropriate agencies in a professional and friendly manner.
Physical Requirements
Works primarily in the Poison Center. Majority of time is sitting, with frequent telephone use and exposure to computer monitor. May assist in patient evaluation and treatment in the Emergency Department as requested. Must be able to operate telephone, computer and recording device equipment. Each teammate has the responsibility to work in a safe environment.
Education, Experience and Certifications
Graduate from an accredited school of nursing, ACPE accredited pharmacy school, or medical school required. Registered nurse, registered pharmacist, physician's assistant or physician (MD or DO) required. Two years clinical experience preferred; applicable state license to practice required. BLS required per policy guidelines. Obtain certification as a Certified Specialist in Poison Information administered by the American Association of Poison Control Centers (AAPCC) within three examination periods and recertify as required by the AAPCC and applicable state Poison Control required. Proficiency in Microsoft Office and keyboard skills preferred. Prefer 2 or more years of FT emergency or critical care experience, familiarity with medical record systems and moderate to rapid typing skills
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Auto-ApplyMedical Records and Referrals Coordinator
Burlington, NC jobs
Job Description
What is PACE?
At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve.
Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each.
Job Title - Medical Records and Referral Coordinator
Department - PACE
Reports to - Site Director
Benefits -
Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
403(b) Plan
Paid Holidays
CME (Continuing Medical Education)
About Position: The Medical Records and Referral Coordinator is responsible for maintaining an accurate and complete medical record per PHSC policy and procedure and for coordination of authorized participant appointments per PHSC policy and procedure.
Work Location: 1214 Vaughn Road Burlington, NC 27217 & 163 Chatham Business Dr, Pittsboro, NC 27312
Schedule: Monday through Friday, 8:00am - 5:00pm
This position will work 3 days per week at PACE Burlington on Monday/Wednesday/Friday and at PACE Pittsboro on Tuesday/Thursday.
Duties/ Responsibilities -
Complete referral documents in the electronic medical record.
Schedule appointments for referrals, contact families and participants with referral times to include mailing an appointment reminder card as well as a courtesy reminder call prior to the scheduled appointment; coordinate referral times with the participant's family first - if family is unavailable, arrange via PHSC Transportation Manager.
Match consultation documents with referral orders and close referrals out via the appointment database.
Work closely with Medical Records Coordinator to ensure consultation documents are processed efficiently and relevant goals are being met.
Schedule and coordinate outside appointments for participants based on days of attendance/time/availability of transportation services to include the coordination with clinical staff when an aide/family escort is needed.
Work with the Medical Providers to reschedule appointments as needed per our PHSC appointment guideline as well as based on transportation services availability.
Document appointments within Centricity and appointment database.
Notify Nurse Care Manager of any scheduled procedures and give forms to be filled out; need to go over with participant prior to the scheduled appointment.
Make weekly schedule for authorized appointments and distribute.
Complete appointment paperwork (chart note/rationale for visit/etc.)
Consistently follows authorization and referral policies and procedures to include maximum number of appointments that can be approved and arranged per day.
Audit medical records for being up-to-date and complete.
Ensure referrals are completed according to determined goals, and referrals reports for open, held, and closed appointments are reviewed on at least a weekly basis with supervisor, providers, and Site Director.
Provides administrative support to the PACE Center as needed.
Ensures that Piedmont Health SeniorCare maintains an accurate and complete medical record as well as ensures the safety of participant confidential information, security of the facility and all data according to Federal and State Regulations.
Contacts outside offices for medical records, notes, images, follow-up and cancellations.
Ensures medical notes from specialty appointments, hospitalizations, etc are received and uploaded to the chart on a timely basis (no later than a week after appointment.
Close out the medical record of deceased and/or disenrolled participants.
Establishes and maintains medical records for each participant, including: requesting, scanning, uploading records, notes, images, follow-up and cancellations from external sources to include, labeling information once scanned into computer system as well as closes out referrals.
Achieves quality goals for medical records of a complete and accurate current medical record for every participant.
Abides by all established SeniorCare policies, rules and regulations, including patient, staff and SeniorCare information.
Perform all other duties as assigned.
Qualifications -
Education: Associates Degree in relevant field required or 2-3 years of relevant experience, education, or certification.
Required:
Must be able to work effectively in a team environment.
Strong oral and written communication skills.
Must meet a standardized set of competencies established by Piedmont Health SeniorCare and approved by CMS before working independently.
Preferred: One year of work experience with the frail or elderly preferred.
Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.
Pay Range : $17.66/Hourly - $23.74/Hourly
EEO Statement
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Powered by ExactHire:185986
Onsite Release of Information Specialist - Rutherfordton, NC
Rutherfordton, NC jobs
The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Rutherfordton, NC.
The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medical records, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
2+ years of medical record experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
Specialist in Poison Information, North Carolina Poison Control, Atrium Health FT Airport Center
Charlotte, NC jobs
Department: 85215 Greater Charlotte Research and Other Sponsored Programs - Academic Poison Center Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: 3P - 11P, every other weekend. Pay Range $37.50 - $56.25 Essential Functions
* Utilizes clinical and communication skills to obtain a history of the exposure, including all aspects of patient condition, agent(s) involved, circumstances, etc., in a timely manner consistent with the severity of the exposure.
* Provides poison information on patients of all ages, including infants, children, adolescents, adults and the elderly.
* Utilizes information resources appropriately to accurately assess each exposure case. This includes use of computerized data bases, textbooks, primary medical literature, consultants, and previous knowledge and experience.
* Formulates an appropriate plan of care (patient disposition) by interpreting and integrating available information.
* Implements the plan of care based on established guidelines, case specifics, patient care priorities, health care facility resources, and professional judgment in a timely manner.
* Communicates patient information and treatment recommendations as necessary to appropriate health care facilities/providers.
* Evaluates the appropriateness of assessment & recommendations documented on the case record by adhering to established follow-up procedures.
* Provides non-toxicological drug and medical information to callers within the scope of education and experience as time permits.
* Provides initial crisis intervention to callers with other medical or drag problems, or suicidal intentions, with referral to appropriate community agencies.
* Refers non-medical callers to appropriate agencies in a professional and friendly manner.
Physical Requirements
Works primarily in the Poison Center. Majority of time is sitting, with frequent telephone use and exposure to computer monitor. May assist in patient evaluation and treatment in the Emergency Department as requested. Must be able to operate telephone, computer and recording device equipment. Each teammate has the responsibility to work in a safe environment.
Education, Experience and Certifications
Graduate from an accredited school of nursing, ACPE accredited pharmacy school, or medical school required. Registered nurse, registered pharmacist, physician's assistant or physician (MD or DO) required. Two years clinical experience preferred; applicable state license to practice required. BLS required per policy guidelines. Obtain certification as a Certified Specialist in Poison Information administered by the American Association of Poison Control Centers (AAPCC) within three examination periods and recertify as required by the AAPCC and applicable state Poison Control required. Proficiency in Microsoft Office and keyboard skills preferred. Prefer 2 or more years of FT emergency or critical care experience, familiarity with medical record systems and moderate to rapid typing skills
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
* Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
* Premium pay such as shift, on call, and more based on a teammate's job
* Incentive pay for select positions
* Opportunity for annual increases based on performance
Benefits and more
* Paid Time Off programs
* Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
* Flexible Spending Accounts for eligible health care and dependent care expenses
* Family benefits such as adoption assistance and paid parental leave
* Defined contribution retirement plans with employer match and other financial wellness programs
* Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Clinical Coder II - Acute Care - Medical Records
Charlotte, NC jobs
00131697
Employment Type: Full Time
Shift: Day
Shift Details: Monday-Friday 8am-5pm
Standard Hours: 40.00
Department Name: Medical Records
Location Details: 9401 Arrowpoint
Job Summary
Remote role. Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of low to moderate complexity within the Primary Enterprise acute care facilities.
Essential Functions
Reviews low to moderate complexity medical records to identify the appropriate principal diagnosis and procedures codes, and all appropriate secondary diagnoses and procedure codes, Present on Admission, Hospital Acquired Conditions and Core Measures Indicators for all diagnosis codes.
Measures Indicators for all diagnosis codes.
Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
Reviews charges including Evaluation and Management levels.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Abstracts coded data and other pertinent fields in the hospital electronic health record.
Ensures the accuracy of data input.
Meets established quality and productivity standards.
Stays abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Physical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.
Education, Experience and Certifications.
High School Diploma or GED and courses in Medical Terminology, Anatomy & Physiology and Pharmacology. College degree preferred. One to two years coding experience in acute care setting preferred. Current RHIT, RHIA, CCS, CPC-H, CPC-A, CIC or CCS-P preferred or obtained within one year plus a passing score on the Coding test.
At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.
As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.
Posting Notes: Not Applicable
Atrium Health is an EOE/AA Employer
HR Payroll Medical Records Coordinator
Greenville, NC jobs
**JOB PURPOSE:** To assist with administrative functions of the office. **KEY RESPONSIBILITIES:** 1. Responsible for reporting daily census changes to billing department and maintaining monthly census log. 2. Facilitate proper and timely billing by maintaining lines of communication with billing department.
3. Responsible for weekly submission of accounts payable information and for maintaining system to ensure invoices are submitted and paid.
4. Clinical record management.
5. Perform receptionist duties for the office.
6. Order supplies as directed by Administrator.
7. Provide secretarial support to the Administrator and office staff as needed.
8. Maintain personnel files and ensure items are updated monthly.
9. Track signed physician orders.
10. Perform other duties as assigned by Administrator.
11. Ability to communicate effective in written and oral form.
12. Ability to establish rapport and work effectively with a variety of people.
13. Must be well organized with ability to clearly set priorities.
14. Ability to handle confidential matters.
15. Ability to work a flexible schedule.
16. Possess knowledge of computer software, including proficiency in word-processing.
**KNOWLEDGE, SKILLS, ABILITIES:**
1. Participate in center/agency surveys (Licensure/JCAHO) and any subsequently required reports.
2. Attend and participate in continuing education programs to keep abreast of changes in your field as well as to maintain current license/certification as required.
3. Attend and participate in mandatory in-services.
4. Honor patients/residents' rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints.
5. Comply with corporate compliance program.
6. report job-related functions/tasks that involve occupational hazards including exposure to blood and bodily fluids and others as necessary.
7. Follow established safety regulations, to include fire protection and prevention, smoking regulations, infections control, etc.
8. Follow established safety procedures when performing tasks and/or working with equipment.
9. Perform other related duties as necessary and as directed by supervisor.
To apply please email *****************************
**MINIMUM EDUCATION REQUIRED:**
Two yeas of college or business school and/or equivalent experience and training.
**MINIMUM EXPERIENCE REQUIRED:**
One year minimum experience.
**ADDITIONAL QUALIFICATIONS: (Preferred qualifications)**
1. Attendance - must maintain timely, regular attendance
2. Punctuality
3. Professional appearance
4. Communicate well with patients/residents/clients and family members providing warm and friendly greeting and an approachable attitude to families, visitors, patients/residents/clients and responds to expressed concerns while displaying a helpful, caring demeanor. Answers questions when appropriate in a professional manner.
**Family Makes Us Stronger.** Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.
We are eager to connect with you! **_Apply Now_** to get started at PruittHealth!
_As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status._
Easy ApplyElectronic Medical Records Specialist Lead
Charlotte, NC jobs
What We Offer Why This Role Matters As an EMR Specialist Lead, you will be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You will play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function.
What You'll Do Location: ONSITE at Presbyterian Medical Center and other facilities within the Charlotte region Schedule - Monday - Friday, 8:30am - 5:00pm, rotating weekends as needed.
Develop, implement, maintain and monitor information management standards and systems to support the patient record.
Assist with scheduling and staffing, lead and facilitate weekly team huddles, monitor and audit work flows, provide ongoing team member education and train new employees.
Provide team coverage as needed performing EMR Specialist duties including: discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning, department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems, on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail.
Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly.
Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations.
Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations.
Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments.
What You'll Need Required: High School Diploma or GED.
3+ years of equivalent work experience with similar work assignments roles and responsibilities.
Zero years of experience with RHIT or RHIA licensure.
Able to drive/travel to multiple locations/facilities as needed.
Excellent analytical and customer service skills.
Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals.
Able to multitask and work independently with limited supervision.
Strong working knowledge of HIPAA requirements.
Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment.
Preferred: RHIT licensure.
Associate Degree.
Experience with the EPIC EHR and/or Hyland On Base scanning application.
What's In It for You Growth and development opportunities within the Health Information Management department.
Comprehensive benefits include health, dental, vision, and life insurance.
Retirement fund with matching contributions.
Future Forward Program offering upfront tuition assistance for qualifying team members.
Employee assistance programs and discounts.
Job Opening ID 129832
Auto-ApplyElectronic Medical Records Specialist
Charlotte, NC jobs
What We Offer Why This Role Matters As an Electronic Medical Records Specialist, you'll be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You'll play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function.
What You'll Do Location: ONSITE at Presbyterian Medical Center Schedule - Monday - Friday, 8:30am - 5:00pm, rotating weekends and rotating holidays Perform discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning.
Provide department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems.
Perform on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail.
Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly.
Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations.
Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations.
Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments.
What You'll Need Required: High School Diploma or GED.
3+ years of equivalent work experience with similar work assignments roles and responsibilities.
Zero years of experience with RHIT or RHIA licensure.
Able to drive/travel to multiple locations/facilities as needed.
Excellent analytical and customer service skills.
Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals.
Able to multitask and work independently with limited supervision.
Strong working knowledge of HIPAA requirements.
Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment.
Preferred: RHIT licensure.
Associate Degree.
Experience with the EPIC EHR and/or Hyland On Base scanning application.
What's In It for You Growth and development opportunities within the Health Information Management department.
Comprehensive benefits include health, dental, vision, and life insurance.
Retirement fund with matching contributions.
Tuition assistance for qualifying team members.
Employee assistance programs and discounts.
Why Choose Novant Health? At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other.
We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.
Job Opening ID 125847
Auto-ApplyMedical Information Specialist
Durham, NC jobs
Are you ready to work for a more active world? At Bioventus, our business depends on developing our people. We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. Our success rests on working together to achieve shared goals and rewards. Join a diverse team of global colleagues driven to help patients resume and enjoy active lives.
The Medical Information Specialist is responsible for delivering accurate, balanced, and evidence-based medical and scientific information to healthcare professionals, patients, and internal stakeholders. This role supports the company's medical communication strategy by responding to inquiries and ensuring compliance with regulatory and legal standards. He/she will contribute to the development of high-quality Medical Information deliverables within the team and will be a visible member of the department by collaborating cross-functionally to meet Medical Affairs objectives.
What you'll be doing
* Assist in the creation and maintenance of medical information systems and workflows.
* Research and prepare scientifically accurate, referenced responses using approved resources and literature (PubMed, EMBASE, etc.) and respond to unsolicited medical inquiries from healthcare professionals, patients, and internal teams via phone, email, and other channels.
* Collaborate with cross-functional teams (e.g., Regulatory, Quality, Clinical Affairs) to ensure scientific responses are accurate, compliant, and consistent with product labeling and relevant literature.
* Monitor and analyze inquiry trends to identify knowledge gaps and opportunities for proactive communication.
* Prepare regular reports on medical information trends to internal stakeholders, including Medical Affairs, Commercial, and Regulatory teams.
* Support the development and maintenance of medical content including standard response letters, FAQs, custom responses, slide decks, and training materials.
* Ensure all communications comply with applicable regulations (FDA, EMA, etc.), company policies, and industry standards.
* Monitor scientific literature for potential adverse event reports, report findings to Complaints within established timeframes.
* Participate in medical review of promotional materials and labeling as needed.
* Conduct comprehensive training sessions for newly hired sales representatives on the Medical Information Request Form (MIRF), including its purpose, proper completion, and submission processes.
* Assist with and contribute to other Medical Communications and Medical Affairs activities as needed.
What you'll bring to the table
* 4 year degree in a life sciences field. Advanced degree (RPh, RN, NP, PA-C, MSc or equivalent preferred).
* 2+ years of experience in Medical Information, Medical Affairs, or related field in the pharmaceutical, biotech, or medical device industry.
* Strong understanding of clinical research, pharmacology, and regulatory requirements.
* Excellent written and verbal communication skills.
* Ability to interpret and communicate complex scientific data clearly and concisely.
* Proficiency with medical databases (e.g., PubMed, Embase) and literature search techniques.
* Experience with medical information systems (e.g., IRMS, Salesforce, Veeva) is a plus.
* Detail-oriented with strong organizational and analytical skills.
* Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) for documentation, reporting, and presentations.
Are you the top talent we are looking for?
Apply now! Hit the "Apply" button to send us your resume and cover letter.
Bioventus is committed to fostering an inclusive and diverse community of employees with a strong sense of belonging. We believe we are bettered by all forms of diversity and take pride in working with top talent from every walk of life. In the spirit of inclusivity, qualified applicants will be considered without regard to age, ethnicity, disability, gender, veteran status, gender expression, gender identity, nationality, race, religion or sexual orientation. All individuals, regardless of personal characteristics, are encouraged to apply.
Auto-ApplyCancer Registrar 1
Raleigh, NC jobs
The Cancer Registrar 1 identifies, registers, and maintain records of patients receiving treatment for various diseases, providing follow up functions, and maintaining the follow-up percentages for the Registry(ies) as required by the American College of Surgeons standards. This role analyzes incidence data and disseminates information in accordance with established standards.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Identifies cases for abstraction based on Pathology Reports, HIM Coding reports, Bill Reports, etc.
Abstracts data from patient medical record to include patient demographics, diagnostic procedures, history and extent of disease, treatment, follow-up, physician, and other related information.
Codes data into database in accordance with protocol requirements.
Enters Data of potential cases for abstraction into suspense file in Registry system.
Utilizes a variety of resources to perform follow up functions and maintains the follow up percentage as required by the American College of Surgeons.
Participates in continuing education programs and in-services to enhance job knowledge and skill set. Educates data collection staff on study requirements and data collection methodology
Works closely with Registrars and Registry Manager to ensure operational needs of the facilities are met.
Reviews data for accuracy; assembles and disseminates registry data.
Coordinates data collection activities; implements data quality control measures.
Maintains and protects the confidentiality of patient records.
**KEY SUCCESS FACTORS**
General understanding of general health care modalities, therapies, terminology and equipment.
Knowledge of patient care charts and patient histories.
Ability to abstract and code diagnosis and treatment data using standard registry coding references.
Ability to follow research methodology and protocol.
Able to communicate thoughts clearly; both verbally and in writing.
Interpersonal skills to interact with a wide-range of constituencies.
Able to research, analyze and disseminate information.
Knowledge of statistical and graphic concepts used in the presentation of incidence, treatment, and survival information.
Able to apply statistical analysis to discover insights found in technical data.
Basic computer skills, including but not limited to: typing, information security, electronic medical documentation, hand held scanning and email.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - 1 Year of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Onsite Release of Information Specialist - Clyde, NC
Clyde, NC jobs
The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site, in Clyde, NC.
The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medical records, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
2+ years of medical record experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
Health Information Scanning & Analysis Specialist
Hendersonville, NC jobs
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The Health Information Scanning and Analysis Specialist prepare and scan health information documentation and resolve deficiencies in physical and electronic medical recordkeeping. We are looking for a candidate for "CLERICAL" work. Our part-time position is where the individual will ensure that the correct label is on the document, and index it to the correct document type in EPIC. The individual will be collecting information from the parents to complete birth certificates in the NC State Database and then have the parent(s)review& sign the birth certificate. If an Affidavit of Parentage is needed, this individual will complete that document and must be a Notary Public to notarize signatures of the parents.
* Prepares health information documents for scanning by adding identification/indexing labels and identifying and resolving disparities.
* Scans prepared documents into business system software.
* Indexes scanned documents in the business system according to documented criteria. Matches scanned orders to records in the electronic medical recordkeeping (EMR) tool.
* Review electronic medical records deficiencies and assign to clinical staff for resolution.
* Evaluates incoming and scanned documents to ensure quality, such as checking that all details are included, legible, and matched appropriately. Collaborates with team members and clinical staff as needed to correct deficiencies.
* Completes legal documentation as assigned, gathering signatures and requisite information as appropriate. Notarizes or facilitates notarization as appropriate.
* Assists with maintaining inventory of departmental consumable supplies.
Other information:
QUALIFICATIONS
This position is open to entry-level applicants.
Required
* High school degree or equivalent
* Familiarity with desktop computing tools and software
Preferred
* Current Notary Public commission
* Associate's degree
* Training or education in Medical Terminology
Job Details
Legal Employer: Pardee - HCHC
Entity: Pardee UNC Health Care
Organization Unit: Health Information Management
Work Type: Part Time
Standard Hours Per Week: 20.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: PARDEEHOSP
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Health Information Scanning & Analysis Specialist
Hendersonville, NC jobs
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The Health Information Scanning and Analysis Specialist prepare and scan health information documentation and resolve deficiencies in physical and electronic medical recordkeeping. We are looking for a candidate for "CLERICAL" work. Our part-time position is where the individual will ensure that the correct label is on the document, and index it to the correct document type in EPIC. The individual will be collecting information from the parents to complete birth certificates in the NC State Database and then have the parent(s)review& sign the birth certificate. If an Affidavit of Parentage is needed, this individual will complete that document and must be a Notary Public to notarize signatures of the parents.
- Prepares health information documents for scanning by adding identification/indexing labels and identifying and resolving disparities.
- Scans prepared documents into business system software.
- Indexes scanned documents in the business system according to documented criteria. Matches scanned orders to records in the electronic medical recordkeeping (EMR) tool.
- Review electronic medical records deficiencies and assign to clinical staff for resolution.
- Evaluates incoming and scanned documents to ensure quality, such as checking that all details are included, legible, and matched appropriately. Collaborates with team members and clinical staff as needed to correct deficiencies.
- Completes legal documentation as assigned, gathering signatures and requisite information as appropriate. Notarizes or facilitates notarization as appropriate.
- Assists with maintaining inventory of departmental consumable supplies.
Other information:
QUALIFICATIONS
This position is open to entry-level applicants.
Required
- High school degree or equivalent
- Familiarity with desktop computing tools and software
Preferred
- Current Notary Public commission
- Associate's degree
- Training or education in Medical Terminology
**Job Details**
Legal Employer: Pardee - HCHC
Entity: Pardee UNC Health Care
Organization Unit: Health Information Management
Work Type: Part Time
Standard Hours Per Week: 20.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: PARDEEHOSP
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Electronic Medical Records Specialist
Wilmington, NC jobs
What We Offer Why This Role Matters As an Electronic Medical Records Specialist, you'll be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You'll play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function.
This position is onsite in Wilmington, NC.
What You'll Do Schedule - 2nd Shift, Tuesday - Saturday, 3:30pm - 12:00am, with rotating holidays.
Perform discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning.
Provide department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems.
Perform on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail.
Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly.
Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations.
Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations.
Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments.
What You'll Need Required: High School Diploma or GED.
3+ years of equivalent work experience with similar work assignments roles and responsibilities.
Zero years of experience with RHIT or RHIA licensure.
Able to drive/travel to multiple locations/facilities as needed.
Excellent analytical and customer service skills.
Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals.
Able to multitask and work independently with limited supervision.
Strong working knowledge of HIPAA requirements.
Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment.
Preferred: RHIT licensure.
Associate Degree.
Experience with the EPIC EHR and/or Hyland On Base scanning application.
What's In It for You Growth and development opportunities within the Health Information Management department.
Comprehensive benefits include health, dental, vision, and life insurance.
Retirement fund with matching contributions.
Tuition assistance for qualifying team members.
Employee assistance programs and discounts.
Why Choose Novant Health? At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other.
We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.
Job Opening ID 111259
Auto-ApplyCertified Cancer Registrar, Cancer Data Services
Winston-Salem, NC jobs
Department: 37277 Wake Forest Baptist Medical Center - LC: Cancer Data Services Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional Information: Varies Certified Cancer Registrar, Cancer Data Services PRN, 8 hours per week, day shift
Job Summary: Performs accurate, consistent, and complete abstracting of patient records. Conducts quality analysis of records to ensure compliance with CAP protocols, AJCC staging, and ACOS requirements. Queries database and creates reports on requested subsets of cancer patient data.
Education: High School Diploma or GED General Studies Required, Associates Health Science or related field
Preferred Certifications and Licensures Credential Required/Preferred: Certified Cancer Registrar Required
Experience: 2+ Cancer Registry Required
Additional Knowledge, Skills, and Abilities -
* Demonstrate knowledge of anatomy and physiology, AJCC and Seer Staging, ICO-3 manual, Collaborative Staging, Multiple Primary Histology Manual, and COC FORDS manual.
* Working knowledge of ACOS requirements.
* Knowledge of Cancer data software systems.
* Proficiency in Microsoft Excel and Microsoft Word.
* Strong investigative and analytical skills with detail orientation.
* Excellent verbal and written communication skills.
* Ability to function as a self-paced individual.
Job Specific Duties
* Pathology & AJCC Staging Reviews all path reports on Chartmax and attach staging form;
* Queue shall be empty by the end of each month.
* Ensures that CAP protocol for cancer is on each appropriate path report.
* Ensures that AJCC staging has been done by the physician.
Technical Knowledge
* Demonstrates thorough working knowledge of all required manuals required for abstracting.
* These include AJCC Staging Manual Ed. 6, International Classification of Diseases for Oncology, #r3 Edition, Surveillance, Epidemiology and End Results Summary, Collaborative Staging Manual Multi-primary Histology Manual in addition to Facility Registry Data Standards Special Events Participate in community outreach, screening, education, and support activities of the Cancer Program as agreed upon with department manager.
* Teamwork Effectively promotes a positive work environment while at work and outside the facility.
* Demonstrates a high level of teamwork, cooperation, and respect for co-workers and staff.
* Participates in marketing the Center and its programs, both in and outside the facility, on an ongoing basis.
* Assists the Cancer Program Coordinator as requested Cancer Conference Participates in weekly Tumor Board conference as assigned, documenting meeting minutes and decisions made on the decision of care for individual patients.
* Quality Assurance Performs QA on Radiation Oncology patient list, ICD9 list, and Chemotherapy list each month.
Data Submission
* Submits data monthly to the ACOS National Cancer Database, and to the State Tumor Registry in accordance with NC requirements, ensuring that data is reported accurately and in correct format.
* Reports departmental statistics to department manager by the 4th day of the month.
Operations Support
* Maintains day to day operations within the Cancer Registry Department in the absence of the Oncology Program Manager.
* ACOS Accreditation Maintains up-to-date knowledge of ACOS program accreditation standards and ensures that departmental processes are adjusted to meet standards.
Professionalism
* Upholds a professional working relationship at all times and adheres to department rules.
* Practices teamwork and adheres to Standards of Behavior. Other Duties Performs other duties as assigned by management.
Employee Standards Communication:
* Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message.
Collaboration:
* Works with others respectfully and openly; provides help to achieve shared goals.
Service:
* Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message.
Safety:
* Meets or exceeds patient and employee safety requirements while promoting and achieving quality outcomes.
Accountability:
* Takes ownership for goals and outcomes; effectively and efficiently uses available resources to successfully complete tasks.
Improvement:
* Identifies opportunities and takes action to continuously improve processes.
* Maintains effectiveness and flexibility during change.
Pay Range
$26.10 - $39.15
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
* Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
* Premium pay such as shift, on call, and more based on a teammate's job
* Incentive pay for select positions
* Opportunity for annual increases based on performance
Benefits and more
* Paid Time Off programs
* Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
* Flexible Spending Accounts for eligible health care and dependent care expenses
* Family benefits such as adoption assistance and paid parental leave
* Defined contribution retirement plans with employer match and other financial wellness programs
* Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.