Medical Records Clerk II

Number of Positions In Requisition

Job Details

Job Description

The Medical Record Clerk II performs analysis of hospital inpatient, hospital outpatient surgery and Emergency Room records for deficiencies. Assists physicians and other clinical staff with completing their patient records timely in accordance with Medical Staff Rules and Regulations. Also, performs quality audits and clinical pertinence reviews to support Corporate Compliance, Patient Safety, Regulatory agencies (TJC, DOH, et al.) The Record Analyst is responsible for monitoring and processing Epic work queues and reports.

Essential Functions

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Analyze inpatient, hospital outpatient surgery and ED records for deficiencies. Assign deficiencies if required information is missing in the medical record according to the guidelines and schedules provided by each department.
• Professional outreach as needed to physicians to complete overdue deficiencies.
• Determines if escalation to manager is required on outstanding record responsibilities where physicians are non compliant.
• Monitors the status of final reports for procedures or surgeries to facilitate documentation needed for continued patient care and coding.
• Monitors Epic work queues as assigned including but not limited to: History & Physicals, Operative Note, Verbal/co-signed orders and verification of scanned images that update deficiencies.
• Maintains monthly quality score and monthly productivity in accordance with metrics established for hospital inpatient, HOS and Observation accounts.
• Performs other duties as assigned.

Competencies (Knowledge, Skills, and Abilities Required):

Strong written and verbal communication skills.

Minimum Education and Experience Requirements:

Education:

High School Diploma/GED required

AND
Additional Qualifications
Physical Demands

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Worker Sub Type

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Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.