Job Summary:Maintains and reviews the medical records to assure the timely completion and proper authentication of all records.Safeguards the medical records while making them readily accessible at all times.

Essential duties and responsibilities:Include the following.Other duties may be assigned:

• Audit medical records for accuracy and completion.
• Filing and maintenance of documents in the medical record.
• Compile list for all nursing staff and physicians indicating charts to be completed and give to BOM or Clinical Director.
• Collaborate with designated nursing staff daily for physicians and anesthesiologists that will be present at the center for that day to sign labs and complete any incomplete charts.
• Pick up charts daily for return to the medical records area.
• Review, print, and file all operative reports daily.
• Receives and copies requests for medical records and fulfill request in a timely manner.
• Reviews medical records for final audit.
• Provide relief for front business office functions as designated by BOM.
• Cross-trained to fill in and effectively perform all other business office job related functions.
• Serves as a resource to other staff members for front office tasks; i.e. print patient labels, print additional form as requested, etc.
• Attends required in services, conferences and meetings as required.
• Communicates effectively and courteously with visitors, physicians, and their office staffs, patients, and employees.Maintain patient, physician, and employee privacy and confidentiality per policy.
• Ensures medical records are appropriately securely and/orlocked per HIPAA policy.
• Maintains designated certifications such as CPR, as offered by the center, if required.
• Acts in accordance with the vision, mission, and business philosophy of the Center.
• Complies with Policies and Procedures and adheres to safety guidelines to ensure a safe work and patient care environment.

Qualification requirements:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skills, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:High School Diploma/GED; and six months related experience and/or training, or equivalent combination of education and experience.Computers skills with Windows Operating System, Work Excel, Access, and Exchange.

Language Skills:Ability to read and comprehend simple instructions, short correspondence and memos.Ability to write simple correspondence.Ability to effectively present information in one-on-one and small group situations to patients, physicians, and other employees of the Surgery Center.

Reasoning Ability:Ability to apply common sense understanding to carry out detailed written or oral instructions.Ability to deal with problems involving a few concrete variables in standardized situations.

Physical demands:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, use hands to finger, handle or feel objects, tools, or controls; reach with hands and arms; talk, and hear.The employee is occasionally required to climb or balance, stoop, kneel, crouch or crawl. 

The employee must regularly lift and /or move up to pounds and occasionally lift and /or move up to 50 pounds.

Work Environment:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The noise level in the work environment is moderate.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.  If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.  If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. 

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