Chart Abstractor | Primary Care | Full Time

Responsibilities/Duties:

• Abstracts and updates vital medical information into the computer system.
• Summarizes medical information to be abstracted into computer system.
• Reviews communications sent from health information staff regarding patient medical records.
• Analyzes and understands medical information that is vital to providing quality patient care.
• Prepares in advance key information that is needed for continuity of patient care.
• Communicates to clinic staff important information needed for patient care.
• Assists all staff and processes in identifying work flow improvement strategies.
• Works collaboratively with all Clinic and Health Information Staff.
• Understands and maintains confidentiality standards in compliance with State and Federal regulation, including HIPAA.
• Completes in-service training on an annual basis.
• Accepts responsibility for his/her own continuing education and identifies and pursues appropriate goals related to learning.
• At times work onsite to include education, meetings, etc.
• Other duties as assigned.

Education/Experience:

• High School diploma or equivalent preferred.
• Knowledge of medical terminology required
• Experience in chart abstracting preferred.
• Experience with Epic is preferred.

Professional Skills & Expectations:

• Able to effectively communicate in English, both verbally and in writing
• Maintains regulatory requirements
• Wears identification while on duty; uses computerized time system correctly
• Actively participates in the department’s performance improvement activities, as requested
• Represents the organization in a positive and professional manner
• Complies with all organizations policies
• Excellent interpersonal and customer service skills
• Excellent organizational skills and attention to detail
• Ability to function well in a high-paced and at times stressful environment
• Teamwork and collaboration
• Professionalism and strong work ethic

Physical Requirements & Demands:

• Ability to remain in a stationary position, often standing or sitting for prolonged periods.
• Ability to move about to accomplish tasks or moving from one worksite to another.
• Able to constantly communicate with others to exchange information.
• Ability to constantly assess the accuracy, neatness and thoroughness of the work assigned.
• Ability to wear personal protective gear correctly.
• Occasionally light work that includes moving objects up to 20 pounds.
• Occasionally requires repeating motions that may include the wrists, hands and/or fingers.
• Occasionally encounter noisy environments.