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. For more information regarding the physical requirements and environmental conditions for this job, please click here.
Key Functions and Expected Performances:
Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.
Problem Solving/Complexity of Work: Conducts research and analysis to solve some non-routine problems.
Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.
Team Interaction: Provides informal guidance and support to less experienced team members.
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
Core Capabilities - Supporting Colleagues
Develops Self and Others: Continuously improves own skills by identifying development opportunities
Builds and Maintains Relationships: Seeks to understand colleagues priorities, working styles and develops relationships across areas
Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner
Core Capabilities - Delivering Excellent Services
Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service
Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner
Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support
Core Capabilities - Ensuring High Quality
Performs excellent work: Checks work quality before delivery and asks relevant questions to meet quality standards
Ensures continuous improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond
Fulfills safety and regulatory requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department
Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service
Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources
Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error
Core Capabilities - Fostering Innovation
Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them
Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action
Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work
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.