Role Description
This position does include weekends: Sunday, Friday, and Saturday are mandatory days. Option to work 4 10-hour days is available to the right candidate for this position and hours must fall within 1st shift CST.
Pay Range: $22.90 - $34.35
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Navigates various electronic health record (EHR) and computer applications to perform job duties to support patient care, care management initiatives, revenue cycle, Health Maintenance and regulatory requirements.
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Receives, sorts, prepares, and scans internal and external clinical documentation into the EHR according to Health Information Management (HIM) procedures.
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Analyzes non-interfaced patient laboratory reports to ensure patient identifiers and compliance with all applicable regulations including Health Maintenance, College of American Pathologist (CAP) Accreditation, and Clinical Laboratory Improvement Amendments (CLIA).
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Utilizes optical character recognition software to electronically and or manually enter appropriate data into the EHR.
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Identifies, creates, or releases the appropriate laboratory tests by applying knowledge of medical terminology and laboratory nomenclature.
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Selects the correct order templates, discretely enters, and validates individual components, comments, footnotes, performing laboratory name and address, collection date and time, units of measure, reference ranges, abbreviations, and symbols.
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Discretely abstracts and imports laboratory results and other clinical documentation into the EHR.
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Records normal and abnormal findings. Ensures laboratory values are accurately entered and flagged to promptly alert patients and clinicians regarding normal and abnormal results.
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Locates or creates the appropriate patient, encounter, and/or order.
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Correctly paginates and classifies documentation to the appropriate document type and description.
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Ensures appropriate security levels, protection, and destruction of electronic and physical PHI information according to Health Insurance Portability and Accountability Act (HIPAA).
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Readily adapts to new and/or evolving laboratory tests, parameters, reference ranges, and regulations.
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Validates all data points and laboratory codes and uses critical thinking skills to identify and investigate questionable information and troubleshoot issues.
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Escalates issues and reports patterns of concern to leadership timely.
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Performs quality assurance of scanned documentation to ensure clinical documentation is scanned to the correct patient, encounter, document type, and orderable in a timely manner according to Health Information Management policy.
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Verifies the electronic information against the paper document to validate accuracy, clarity, and legibility.
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Completes timely error correction or notification process; including re-resulting or deleting documentation as needed.
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Ensure secure retention and destruction of electronic and physical PHI in accordance with applicable regulations and policies.
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Communicates with patient care and external performing laboratories via phone, email, fax, Epic In-Basket, and other methods to provide education, STAT laboratory data entry services and other required information.
Qualifications
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High School Graduate or Equivalent
Requirements
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Typically requires 1-2 years of experience gained through working in a Health Information Management, Medical Laboratory department or other related health care setting.
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Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, Extract LabDE, Solarity, OnBase, Microsoft 365 and legacy archives.
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High attention to detail and accuracy with frequent interruptions.
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Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
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Ability to work independently and make decisions with minimal supervision while maintaining quality and productivity standards.
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Works collaboratively in a diverse team environment with openness and respect to learn, create and problem solve.
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Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success.
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This position requires travel, therefore, will be exposed to weather and road conditions.
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Operates all equipment necessary to perform the job, performs daily routine maintenance of equipment.
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Exposed to a normal office environment.
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Reliable Internet Service.
Benefits
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Paid Time Off programs
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Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
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Flexible Spending Accounts for eligible health care and dependent care expenses
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Family benefits such as adoption assistance and paid parental leave
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Defined contribution retirement plans with employer match and other financial wellness programs
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Educational Assistance Program