JOB SUMMARY: Analyzes clinical documentation for completeness, accuracy and timely completion in accordance with health record policies and standards with minimal guidance. Communicates with providers to ensure completion of clinical documentation. Performs specialized health information activities to organize, maintain and retrieve the clinical and administrative documentation.
Prepares and organizes patients' medical information for inclusion in the electronic health record (EHR)
Completes quality review of document images for adherence to document management and regulatory standards
Review clinical documentation for timely completion and signature
Assign incomplete documentation tasks to providers and follow up for completion
RECORDS MANAGEMENT - Possesses sufficient fundamental proficiency to successfully demonstrate Records Management in practical applications of moderate difficulty. Familiar with archival records and procedures which have enduring value and are preserved for reference and research purposes because they reflect significant events or information.
DATABASE KNOWLEDGE - Understands the basic concepts of a database and how data is organized so that its contents can easily be accessed, managed, and updated.
QUALITY ASSURANCE - Understands the goal of increasing organizational productivity and individual performance by making the products and services within your work assignments more efficient and more effective. Demonstrates quality management practices on the job which result in superior products and services delivered.
CRITICAL THINKING - Displays clarity, accuracy, precision, consistency, relevance, and sound evidence in the successful completion of tasks and projects. Demonstrates rational and disciplined thought as manifested in results.
COMPLIANCE - Demonstrates and basic knowledge of the core rules, regulations, instructions and guidelines as they apply to assignments. Knows who to go to for further explanation and support. Understands which bodies regulate the industry.
Vanderbilt University Medical Center is a comprehensive health care facility dedicated to patient care, research, and biomedical education. Our reputation for excellence in these areas has made us a major center for patient referrals from throughout the Mid-South. Each year, people throughout Tennessee and the Southeast choose Vanderbilt University Medical Center for their health care because of o...ur leadership in medical science and our dedication to treating patients with dignity and compassion.The mission of Vanderbilt University Medical Center is to advance health and wellness through preeminent programs in patient care, education, and research.