||Job Summary:Under the supervision of the Mercy Medical Group (MMG) Leadership team, the Medical Data Abstractor is primarily responsible for preloading patient data. Chart preloading must be performed in accordance with the approved data abstraction list and within the timeframe specified. Chart preloading process consists of the transfer of current and historical patient information from a paper chart into an electronic record (EMR). The Medical Data Abstractor will pull the necessary documents to be scanned by the health information management department, which will be sent to them via interoffice mail daily. Maintains daily workflow, ensuring that records are processed in a timely and efficient manner and are of the highest possible quality for end use viewing. Researches any identified discrepancies in medical record data and corrects the record according to guidelines. The incumbent is responsible for participation in and completion of all patient safety initiatives appropriate to the position. The incumbent may have access to highly confidential patient, employee and/or Mercy proprietary information, and must handle & protect the information in accordance with hospital & system policies, HIPAA requirements and the highest level of ethical standards. The incumbent is responsible for reporting all security events, potential events, or other security risks to the organization. The incumbent is responsible for participation in and completion of all patient safety initiatives appropriate to the position and conducts all job responsibilities according to the Mission and Values of Mercy Hospital.Job requirements:Certification as a Medical Assistant or State of Maine License as a Licensed Practical Nurse, Certified Nursing Assistant, or other applicable clinical license. Graduate of an approved medical assisting program; or education enabling State of Maine licensure for specialties as noted above. One-year experience in a hospital or physician practice environment is preferred. Experience in practice or hospital EMR/HIM computer software experience to include scanning and indexing is preferred. Must have good interpersonal skills as the incumbent interacts with physicians, other departments, staff, and individuals outside the department. Must be able to operate independently in completing all tasks with minimal guidance from the Supervisor and/or Lead. Basic clinical skills necessary in order to accurately abstract clinical information and identify missing and/or incorrect clinical information from patient charts and to contact appropriate sources to complete records is required. Must be highly accountable for accuracy, quality, and timeliness of work. Incumbent's performance impacts the ability of the department to provide appropriate clinical care to patients. Most of the responsibilities of this position impact the integrity of the Electronic Legal Record and the Electronic Medical Record. Strong clinical skills and ability with computers, keyboards, and mouse work. Ability to work independently and show a preference for routine detailed and organized work.
Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.