PositionSummary

GeneralDescription

TheQualityControlIndexing(QCI)Clerkisresponsibleforanalyzingmedicalrecorddocumentsanddocumentationtoensurecompletemedicalrecordinformationandaccuratemedicalrecordpatientidentificationanddocumentindexing.Chartcorrectionstaffareresponsibleforperformingmergesofduplicatemedicalrecordnumbers,addressingrequestsforcorrectionoferrors,openingchartcorrectioncaseswhenappropriateandfacilitatingcorrectionofidentifiederrorsinthemedicalrecord.

EssentialJobFunctions

1.ConductsqualityreviewtoensurethatallpatientrecordsandloosedocumentsscannedintoOnBaseareofthehighestpossiblelevelofquality.

2.Indexesalldocumentstotheappropriatepatientencounterandappropriatedocumenttype.

3.Reviewseachpatient'srecordforincompleteormissingitems,identifiestheresponsiblepractitionerforeachoftheseitems,andassignsandlinksthedeficienciesinEpictotheappropriatephysicianforcompletion.

4.Notifies physiciansofpendingrecordsthatneedcompletioninatimelymanner,identifyingthose physicianswhowillbesuspended andnotifyingtheappropriatehospitalpersonnel/departments ofphysiciansuspensions.

5.Performsmergesofduplicatemedicalrecordnumbers.

6.Facilitatescorrection ofidentifiederrorsinthemedicalrecord.

7.Collects,entersandreportsaccurateandcompletestatisticaldataasneededorassigned.

8.Assurespatientsafety,privacy andconfidentialityasappropriateorrequired.

9.Mayalsoperformotherdutiesasassigned.

StatementofAccountability

Reportsto:Director,HIM

Qualifications

•Education

•Licensure

•WorkExperience

•Skills/computer/specifictechnical

•Otherqualifications,miscellaneous

Specifyifqualifications

areRequiredorPreferred

1.Education-

Required: Highschoolgraduate.Satisfactorycompletionofacourseinmedicalterminology.

2.Licenses/Certifications-

Required: None

3.WorkExperience-

Required:PreviousacutecarehospitalHealthInformationManagementdepartmentexperience.Previousexperiencewithelectronicmedicalrecordsdesirable.Keyboardproficiencyisrequired.

4.Skills/computer/specifictechnical-

Required:

A.Familiaritywithapplicablelawsregardingconfidentiality

andreleaseofinformation.

B. Excellentorganizationalskillsandabilitytoworkwell

independently.

C.Abilitytopreparereportsclearly.

D.Knowledgeofmedicalrecordcontentanddocumentationrequirements.

E. Familiaritywithdatabasesanddataentry.

5.Otherqualifications-

A Abilitytoworkwellandcommunicateeffectivelywithpersonsofvaryingeducationalandculturalbackgrounds.