Req Number 141558General Summary:Accompanies physician during patient examination to transcribe physician/patient encounter into patient medical record. Ensures medical record is accurate, complete, and meets medical coding requirements. Essential Job Responsibilities:
Records relevant details of physician's interview with patient into medical record
(symptoms, patient and family medical history, list of medications, etc.).
Documents physician's physical examination of patient (measurements, vital signs,
observations and findings).
Records results of testing, including physician impressions of test results.
Enters physician diagnoses and follow-up instructions.
Maintains confidentiality, privacy, and appropriate demeanor during interactions with
patients and health care team members.
Ensures accurate, complete and consistent selection of diagnosis and procedural codes
to assure the production of quality healthcare data and accurate payments.
Reviews patient records for completeness of documentation and requests physician
clarification for any incomplete or ambiguous data.
Performs related duties as required by supervisor or manager.
Requirements :
High school diploma or general equivalency diploma (GED)
Higher education also accepted, not required.
Minimum one year of relevant experience working in a medical facility or related field.
Orthopedic experience preferred.
Additional Details:The following schedule and travel is Required :
Monday - Lynbrook (8:30am-5pm), Tuesday - Lynbrook (11am-7pm), Wednesday - Massapequa (12:00pm-8pm), Thursday - Lynbrook (8:30am-5pm), Friday - Rockville Centre (Medphones)
Additional Salary DetailThe salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).The salary range for this position is $36,980-$55,690/yearIt is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.