SUMMIT, New Jersey, USA
1 day ago
MEDICAL SCRIBE
Responsibilities Summit Oaks Hospital, a 126 bed, private acute care hospital and chemical dependency treatment center, located in a picturesque suburban setting, fully accredited (by the Joint Commission), has been providing quality health care to adult, child and adolescent northeastern USA residents, since 1902.Summit Oaks has repeatedly been recognized in U.S. News & World Report, as one of the nation's best behavioral health hospitals. Much more online at: https://summitoakshospital.com/ Who we are: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. PRIMARY RESPONSIBILITIES Verbally dictates, with articulation and clarity, into the transcription system to accurately produce quality dictations with minimal errors. Corrects any dictation errors or blanks within 48 work hours of the error being made. Monitors the Delinquency Report on a bi-monthly basis to catch any chart incompletions. Prioritizes work assignments according to the patient discharge date and Medical Records Delinquency Report. Adheres to Federal, State and local legislation, including HIPAA. Abides by standards regarding security and access to Patient Health Information (PHI). Complies with The Joint Commission standards. Complies with all hospital and departmental policies and procedures. Notify the HIM Director regarding any potential problems with record updates, documentation, Queries physicians and other direct patient care professionals in questions regarding level of detail for diagnostic and procedural entries, according to the organization’s guidelines. Assists in monitoring, printing and filing of dictation reports Adhere to facility, department, corporate, personnel and standard policies and Attend all mandatory facility in-services and staff development activities as Support facility-wide quality/performance improvement goals and objectives. Maintain confidentiality of facility employees and patient information. Shall not conduct business or perform any services for another professional or business venture or enterprise while on Facility time nor use Facility resources for such activities. Note: The essential job functions of this position are not limited to the duties listed above. Qualifications Education: A High School Diploma or GED, plus a certification (RHIT, RHIA,CMS, CCS) or licensure (RN, LPN, PA, LSW) Experience: At least one (1) year of significant experience in the following: Medical terminology, anatomy and physiology, diagnostic procedures, pharmacology and treatment assessments to the extent required to understand and accurately dictate a quality discharge summary. • Electronic medical record (EMR) and ancillary computer applications navigation and functionality Principles of DSM 5, ICD 10 coding and reimbursement.
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