Summary

The EMR Abstractor extracts information from medical records and electronic medical records and records them in patient records. Transcribes information received from medical facilities including hospitals, pharmacies and other physician practices.

Essential Duties and Responsibilities

• Abstracts patient information from medical records.
• Transcribes patient medical information into EMR.
• Correlates ICD – 10 codes with transcribed patient diagnosis and procedures.
• Transcribes special reports as requested.
• Verifies accuracy of patient information in the file.
• Assist with recording of new patient paperwork.
• Works with medical assistants and other staff to route patient charts to proper location.
• Answers telephone and gives routine information in accordance with established procedures.
• Follows medical records policies and procedures.
• Duplicates documents and forms as directed.
• Attends required meetings and participates in committees as requested.

Other

• Compiles information and prepares reports.
• Maintains records.
  Maintains effective working relationships with medical staff, office staff and the public.
• Deals with stressful situations.
• Participates in educational activities.
• Follows organizational policies and procedures, including State of Franklin Healthcare Associates Compliance Manual, Code of Ethics and Business Standards, HR Policies and Procedures Manual, Team Member Handbook, OSHA Manual and any other policies or procedures for the job function, department, location or clinic.
• Performs other duties as assigned.

Supervises

None

Qualifications

• EMR Abstractor must demonstrate exceptional customer service, initiative, cooperation and willingness to work as part of a team.
• Maturity, patience, sound judgment, an aptitude for organization and excellent interpersonal skills are required.
• Knowledge of medical business office procedures, insurance policies accepted by the practice and referral requirements associated with each.
• Knowledge of medical terminology.
• Skills in using a computer, copier, printer, scanner, fax machines and other office equipment.
• Knowledge of grammar, spelling and punctuation to type patient information.
• Ability to read, understand and follow oral and written instructions.
• Ability to speak clearly and concisely.
• Ability to establish and maintain working relationships with patients, employees and the public.

Education

This position requires a High School Diploma/GED.

Experience

One year related experience in a medical office and/or nursing experience preferred. Basic knowledge of working with computer software programs such as Microsoft Word.

Certificates, Licenses, Registrations

Related EMR and/or Coding certifications are encouraged.

Competencies

Service: Demonstrates high standards of service to patients, physicians, team members and other departments; remains calm when faced with challenging or difficult situations; effectively resolves service issues.

Quality: Work is thorough and accurate; offers ideas and solutions to improve outcomes and enhance service; considers the situation and relevant information before taking action; effectively implements improvements.

Integrity: Acts with the highest levels of personal ethics, honesty and accountability.

Performance: Applies job specific knowledge, skills and experience to accomplish results; requires appropriate level of supervision; work is completed in a timely manner; uses sound judgement in decision-making; is reliable and dependable; utilizes time and resources responsibly; complies with policies and procedures; work area is organized, neat and clean.

Communication: Expresses facts and ideas in a clear, convincing and organized manner; listens effectively; professional, respectful and compassionate in communications with others; follows proper channels of communication and shares essential information timely; maintains appropriate confidentiality.

Teamwork: Builds and maintains effective working relationships; recognizes strengths and contribution of others; manages and resolves conflicts in a positive and constructive manner.

Working Conditions

Work is performed in a medical office environment involving contact with patients, physicians, staff, insurance carriers and other business partners. May work in high stress direct patient care areas. Demands high level of concentration and the ability to work in emotionally charged situations. Stress levels may be high due to frequently dealing with conflicting priorities, multiple tasks and emergency situations. Occasional local travel between work sites and additional hours, including evening or weekend work, may be necessary.

Physical Requirements

#electronic medical records #emr #abstractor