Medical Records Clerk : Emergency Room
- PREPARE , ASSEMBLE AND MAINTAIN PATIENT
RECORDS.
- Contractor shall assemble initial patient treatment
record , utilizing Composite Health Care ( CHCS ) and
Automated Data System ( ADS).
- Responsible for reviewing outpatient -visit
documentation and entering of the appropriate
ICD-9 , CPT, HCPCS and E& M codes. Adheres to
accepted coding practices as prescribed by the
Department of Defense , JCAHO , AHA
Coding Clinic and CMS coding guidelines. The
codes are entered into the Ambulatory Data
System ( ADS) directly .
- Confirms the correct patient data is contained in
the medical record to ensure that incorrect
demographics are not entered into a file . Name ,
social security number and dates of service are
verified as corresponding to those listed in ADS
before entry of the diagnosis and procedure
codes.
- Maintains daily job status reports including
completed activities , all metrics , incomplete
activities and the status of any special interest data
projects.
- May participate in the development of ad hoc
programs using a data retrieval system when input
is derived through predefined parameters.
- Compiles , verifies , and files medical records of
hospital or clinic patients and compiles statistics for
use in reports and surveys.
- Review records to ensure they are complete ,
assemble forms and test results to ensure that
material and information on like subjects are kept
together and eliminating duplicate copies within
file . Review medical records and associated files
annually and pull medical records and X -rays that
have not been used for two ( 2 ) years .
Contact:
Phil Colgan
Alutiiq Management Services , LLC
98 -030 Hekaha St. Unit 717
Aiea HI 96701
808 - 488 -3699.
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