Job Abstract

Review discharged patient medical records for completeness and accuracy, based on hospital policy and accreditation and regulatory standards. Input incomplete data elements into delinquency database. Facilitate medical record availability for physician completion and retrieve medical records; contact physicians to inform them of the availability of the medical record for review and signature; re-review the medical record following physician review and signature activity. Monitor database to iden...tify physicians with incomplete medical records; draft and send physician an incomplete medical record notification letter . File operative reports in the medical record. Perform clinical pertinence review of medical records per hospital policy and procedures; prepare medical record deficiency reports as needed by management. Collaborate with co-workers in the completion of daily of assignments. Contribute to the overall team spirit of the HIM Department. Seek educational opportunities related to medical records review and analysis. Participate in educational/in-service offering presented by the Human Resources Department. Participate in the CNMC's customer service education program. Extend assistance to all customers of the HIM Department. Partner in the mission and upholds the core principles of the organization Committed to diversity and recognizes value of cultural ethnic differences Demonstrate personal and professional integrity Maintain confidentiality at all times Anticipate and responds to customer needs; follows up until needs are met Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Use resources efficiently Search for less costly ways of doing things Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Dorchester (L 045) 12200 Plum Orchard Dr Silver Spring 20904