If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Under general supervision, to perform health information management clerical activities such as reviewing medical charts for deficiencies and assisting medical staff regarding completion of charts. Application of specialized knowledge of medical chart format, health information management procedures, hospital organization and medical terminology. Incumbents are expected to have sufficient judgment to solve complex clerical office and chart locator problems. **Locations** Stanford Health Care **What you will do** + Obtains, reviews, and analyzes outpatient medical record discharges for completeness: + All medical records are accurately retrieved and assembled within discharge. + Identifies deficiencies by physician for each out patient discharge medical record. + Performs data entry of chart deficiencies as indicated by the software are program. + Responsible for keeping within productivity standards set by the supervising staff for analysis and assembly of outpatient discharges. + Records are accurately filed in the incomplete file immediately up on completion (initial/recheck). + Monitors status of incomplete chart work: + On a weekly basis remind physicians of incomplete work per departmental suspension process. + Prepares statistical reports, maintains logs, files and computer data files on the completion of incomplete charts by physicians. + Reports variances or physician concerns to the Supervisor or Director. + Prepares completed charts for permanent medical records files: + Pulls and verifies charts for physician completion within the HIM department. + On a daily basis send charts to the GI lab and OR recovery room for physician completion according to a pee-determined schedule. + Updates tracking software removing completed charts deficiencies, + Tracks the location of incomplete charts consistently in the chart locat system. + Maintains, researches and corrects all information for incorrect or double numbers in a timely manner. + Performs extended chart or information searches and successfully locates most files in a timely manner. + Releases patient information appropriately: + Releases incomplete records per departmental guidelines. + Interviews parents to obtain information for preparation of official birth and death certificates: + Completes birth and fetal death certificates in a timely and accurate and departmental guidelines. + Obtains required signatures as appropriate and files completed documents with the county within required state deadline of IO days. + Reads and understands medical terminology to the degree necessary to format and consistency in the general contents of a medical record. + Cross trained to provide coverage in the Livermore office for: + Pulling charts according to the surgery schedule. + Assembly and analysis of skilled nursing, GI, and psychiatric discharges. + Chart management procedures specific to the Livermore campus. + Monitors dictating system and transcription system for completed reports: + Responsible for the distribution, filing and tracking of all dictated reports. + Update incomplete charts as needed when new dictated reports are filed. + Responsible for taking part in the copying of records for billing purposes as well as patient requests. + Will participate in the filing of a pre-determined portion of loose paperwork maintained within the HIM department. + Works effectively and harmoniously with others. + Works independently and exercises initiative, judgment, and tact. + Performs other job duties as assigned by supervising staff. **Education Qualifications** + High School Diploma or GED **Experience Qualifications** + Two years experience in a clinic or hospital setting **Required Knowledge, Skills and Abilities** + Basic computer skills, including basic knowledge of how to access and retrieve computerized data. + Knowledge of JCAHO/Title 22 compliance standards as pertains to chart completion preferred. + Basic knowledge of State and Federal laws pertaining to patient confidential information and the requirements for release of confidential information preferred + Excellent public relations skills. + Knowledge of general office practices and procedures including, but not limited to, knowledge of modern standard office machines including computers, fax, copier, and typewriter. **These principles apply to ALL employees:** **SHC Commitment to Providing an Exceptional Patient & Family Experience** _Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery._ _You will do this by executing against our three experience pillars, from the patient and family’s perspective:_ + Know Me: Anticipate my needs and status to deliver effective care + Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health + Coordinate for Me: Own the complexity of my care through coordination **Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in** **all of** **its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.** Base Pay Scale: Generally starting at $25.45 - $31.32 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow. As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care. Learn about our awards (https://stanfordhealthcare.org/about-us/awards.html) and significant events (https://stanfordhealthcare.org/about-us/our-history.html) .