Who We Are:People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Central Carolina Hospital is a 137-bed acute care hospital with over 100 physicians and more than 500 employees. The hospital offers a wide range of specialties, including cardiology, orthopedics, ophthalmology, general surgery, obstetrics, gynecology, emergency medicine, gastroenterology, hospitalist services, nephrology, hematology, urology, podiatry, pulmonary medicine, and wound care.Where We Are:From sprawling public art, to a robust music scene, to nature so big and beautiful, Sanford has the small-town feel while still offering something for everyone. Our downtown is a hub of excitement and activity offering delights to satisfy the foodies, art lovers, history enthusiasts, and more.Why Choose Us:· Health (Medical, Dental, Vision) and 401K Benefits for full-time employees· Competitive Paid Time Off / Extended Illness Bank package for full-time employees· Employee Assistance Program – mental, physical, and financial wellness assistance· Tuition Reimbursement/Assistance for qualified applicants· Discounts with local vendors· Opportunities for education and training through partnership with Duke LifePoint Healthcare· And much more…Summary: Provides the hospital with the support and management of information as it pertains to all facets of the Health Information Management Department and related medical record functions ensuring compliance with JCAHO, and federaland state regulatory guidelines, and the Medical Staff Bylaws.Essential Functions:
Retrieves discharged patient records from all nursing units and the Emergency Department, and verifies that all records are accounted for.
Preps each chart by ensuring correct patient identification is on each document (front and back)
Groups like documents in the appropriate order and further groups in date order.
Reviews each page of the record for poor original documents and items that cannot be scanned.
Removes staples, paper clips, and post-its; ensures rhythm strips and other small documents are taped to 8 1/2 x 11 paper for scanning.
Scans all records into Cerner in a timely manner to avoid delay in further processing.
Ensures scanner is kept clean and in peak performing condition to enhance image quality.
Indexes all documents to the appropriate patient folder with the appropriate document name.
Reviews each discharged patient record for incomplete or missing items.
Identifies the responsible practitioner for each item and links the deficiencies to the appropriate physician for completion.
Monitors physician decline que daily and reassigns deficiencies when appropriate.
Supports Cerner as the legal medical record by validating the accuracy and completeness of each document scanned and indexed into the system.
Utilizes the HPF and Cerner systems to fax/copy medical record documents in support of requests from physicians, physician office staff, other medical treatment facilities, hospital staff, and patients.
Maintains patient confidentiality at all times.
EEOC Statement:Central Carolina Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.Required Education: High school diploma or equivalent is required within 30 days of hireAssociate’s degree is preferredJob: Please select a valid job field Organization: Central Carolina Hospital Title: Clerical Spec-HIM Location: NC-Sanford Requisition ID: 7468-4108