Washington Hospital Careers

Position Summary

General Description

The Quality Control Indexing (QCI) Clerk is responsible for analyzing medical record documents and documentation to ensure complete medical record information and accurate medical record patient identification and document indexing. Chart correct ion staff are responsible for performing merges of duplicate medical record numbers, addressing requests for correction of errors,opening chart correction cases when appropriate and facilitating correction of identified errors in the medical record.

Essential Job Functions

1.      Conducts quality review to ensure that all patient records and loose documents scanned into OnBase are of the highest possible level of quality.

2.       Indexes all documents to the appropriate patient encounter and appropriate document type.

3.      Reviews each patient's record for incomplete or missing items, identifies the responsible practitioner for each of these items, and assigns and links the defic iencies in Epic to the appropriate physician for completion.

4.       Notifies physicians of pending records that need completion in a timely manner, identifying those  physicians who will be suspended and notifying the appropriate hospital personnel/departments of physician suspensions.

5.      Performs merges of duplicate medical record numbers.

6.       Facilitates correction of identified errors in the medical record.

7.      Collects, enters and reports accurate and complete statistical data as needed or assigned.

8.      Assures patient safety, privacy and confidentiality as appropriate or required.

9.      May also perform other duties as assigned.

Statement of Accountability

Reports to: Director, HIM

Qualifications

•    Education

•    Licensure

•   Work Experience

•    Skills/com puter/ specific technical

•   Other qualifications, miscellaneous

Specify if qualifications

are Required or Preferred

1.  Education -

Required:  High school graduate. Satisfactory completion of a course in medical terminology.

2.  Licenses/Cert ifications -

Required: None

3.  Work Experience -

Required: Previous acute care hospital Health Information Management department experience. Previous experience with electronic medical records desirable. Keyboard proficiency is required.

4.  Skills/computer/specific technical -

Required:

A.     Familiarity with applicable laws regarding confidentiality

and release of information.

B. Excellent organizational skills and ability to work well

independently.

C.     Ability to prepare reports clearly.

D.      Knowledge of medical record content and documentation requirements.

E.  Familiarity with databases and data entry.

5. Other qualifications -

A Ability to work well and communicate effectively with persons of varying educational and cultural backgrounds.