Medical Transcription Editor, Full Time, Days

Clerical Fremont, California


Description

Salary Range: $39.52 - $47.55

Job Description

Division: Patient Financial Services

Job Title: Health Information AnalystJob Code: 535

Position SummaryGeneral Description

Reviews and edits speech-recognized documents to produce a comprehensive and accurate document. Formats speech-recognized documents according to medical records guidelines.

Develop deficiencies and communicate with physicians related to incorrect or missing documentation.

Perform medical record reviews for physician reappointment. Document donor network discharges and verify information.

Track and report data using excel spreadsheets for clinical executive committee.

Perform analysis of medical record documentation in the HIM Analysis WQ’s.

Perform daily deficiency and suspension functions including calling physicians and developing reports.

Respond to physician questions related to the use of EPIC and provide training related to responding to queries, use of EPIC in-basket, and other minor Epic functions.

In addition to performing the essential functions listed, may assist with other duties in the HIM department as needed.

Statement ofReports

Accountability

to: HIM Director

Qualifications1. Education -

  • EducationRequired: High School graduate
  • LicensureCollege level course in Medical terminology and Anatomy and
  • Work ExperiencePhysiology.
  • Skills/computer/ specificDesired: Pharmacology course.

technical2. Licensure/Certification -

  • Other qualifications,Desired: HIM Credential RHIA, RHIT, ODS, CMT

miscellaneous

3.  Work Experience -

Specify if qualifications areRequired: Experience working in an HIM department.

Required or PreferredExperience working directly with physicians.

Desired: Experience training and interacting one-on-one with physicians.

4.  Skills/computer/specific technical -

  • Thorough working knowledge of medical terminology, pharmacology, and anatomy and physiology.
  • Excellent Skills using Epic.
  • Ability to train physicians to use Epic effectively.
  • Excellent skills using Excel spreadsheets and developing reports for management reporting.
  • Experience/working knowledge of Midas software.
  • Excellent computer skills.
  • Ability to work well independently.

5.  Other qualifications -

  • Ability to communicate effectively with physicians over the phone, via email and in person.
  • Ability to train physicians on basic Epic functions related to competing deficiencies to avoid suspension.

 


 

 

 

  • Ability to communicate effectively with persons of varying educational and cultural backgrounds.

Essential Job Responsibilities

Achieving Results Key Components: assess, plan, evaluate, demonstrate initiative, quality of work, productivity

Review and Edit Voice Recognition Dictation:

1.      Daily monitoring of Dragon Notes

2.      Develop reports for Dragon Notes

3.      Monitor and review Dragon notes for accuracy and missing documentation:

  •      History and physical reports
  • Consultation reports
  • Operative/procedure reports
  • Discharge summaries
  •      Cardiac catheterization reports oSpecial procedures and tests oOther reports as assigned

4.      Communicate with physicians related to necessary corrections.

5.      Develop deficiencies for missing or incorrect documentation.

6.      Implement the Suspension process when required.

Demonstrates Skill Key Components: competency, job knowledge, organizational skills, analytical skill, management of information, employee & patient safety

Donor Network Deceased patients

1.      Donor Network Deceased Discharges Monthly List

2.      Run reports for deceased patient data.

3.      Information must be manipulated into spreadsheet from Donor network

4.      Verify and correct data on sheet; death time and date

5.      Some information must be gleaned from chart; intubation/ventilator status.

Physician Reappointment monthly process

1.      Develop and process physician reappointments Monthly

2.      Collaborate with the Medical staff for monthly reports by physician.

3.      Run Bi-Launch/Clarity reports for physician reappointment periods.

4.      Perform medical record review for each physician in Epic based on joint commission criteria.

5.      Enter results in Midas software.

6.      Run reports in Midas for Medical staff

7.      Run reports in Clarity/Bi-Launch as needed for medical staff office.

Planning & Coordinating

Key Components: delegates, decision making, problem solving, management of resources

 

1.      Monitors and provides analysis of medical record documentation to align with hospital bylaws and Joint Commission standards.

2.      Performs information collection and reporting as required by job according to hospital policies and in an effective and timely manner as required by position.

 


 

 

 

 

3.  Seeks additional resources and assists others within capabilities, as needed.

Professionalism

Key Components: dependability, interpersonal skills, teamwork, patient first ethic, customer service, communication skills, punctuality/attendance, receptiveness to criticism, judgment, confidentiality

1.      Displays good judgment and a practical and effective approach to problem-solving.

2.      Complies with hospital’s Patient First ethic at all times.

3.      Works well with providers and is able to troubleshoot Epic issues.

4.      Maintains confidentiality of all hospital information. Safeguards protected health information from any intentional or unintentional disclosure.

5.      Performs job both in person, on telephone, and/or through other means of communication, according to requirements.

6.      Displays courtesy to others at all times. Is considerate of others cultural and spiritual needs.

7.      Reports to work as scheduled, in compliance with hospital attendance and punctuality policies.

Improving the Organization Key Components:

performance improvement, quality initiatives

1.      Participates in performance improvement activities as required.

2.      Follows safety policies at all times, helps to maintain a safe workplace.

 

3.      Reports any safety concerns to supervisor. Participates in safety training as required.

Self-Development Key Components: maintain license/certification, education and training

 

1.  Works to improve knowledge on an ongoing basis, e.g. training and/or education related to the position.

Regulatory Compliance

Key Components: JCAHO, Title 22, OIG, HIPAA,

State/Federal laws, hospital policies

1.      Complies with all applicable laws and standards in regards to confidentiality, privacy and security.

2.      Complies with department and hospital policies and procedures.

 

 

 

 

 

 



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