Job Information
Bozeman Health Clinic Abstrator in Bozeman, Montana
Position Summary:
The Clinic Abstractor abstracts clinical data from the medical record and is responsible for the retrieval, analyzing and validation of clinical data, and the collection of numerous complex data elements, into the electronic health record (EHR). Performs quality audits, utilizing a data entry and cleaning database (EC Reconciliation) to insure all available data has been abstracted, updated and recorded prior to scheduled appointment and ongoing abstraction to keep the EHR record current. They provide physicians and researchers with data needed to maintain quality care through peer review and to compare our clinical performance with recognized standards. This role functions as a medical records technician.
Minimum Qualifications:
High School Diploma or equivalent
One (1) year medical clinical/clerical work experience
Experience using Electronic Health Record operating systems
Preferred: Associate’s Degree in Healthcare related field
Preferred: Certification as a Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
Preferred: Completion of Medical Records Technician program
Essential Job Functions:
In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
Input data accurately into EHR system from paper charts and/or EHR chart
Research and identify key medical elements to be abstracted using a variety of skills
Coordinate with clerical and clinical staff to ensure patient charts are fully abstracted prior to appointments
Reviews, modifies, and recommends changes to policies and procedures to improve data management
Knowledge, Skills and Abilities
Demonstrates sound judgment, patience, and maintains a professional demeanor at all times
Exercises tact, discretion, sensitivity, and maintains confidentiality
Performs essential job functions successfully in a busy and stressful environment
Learns current and new computer applications and office equipment utilized at Bozeman Health
Strong interpersonal, verbal, and written communication skills
Analyzes, organizes, and prioritizes work while meeting multiple deadlines
Works varied shifts as scheduled and/or needed
Physical Requirements
Lifting, Pushing, and Pulling: Lift 30 pounds of weight (pick up supplies, move equipment, etc.) Carry equipment/supplies.
Extended Hours: The role may involve working for extended periods, requiring sitting, walking, or standing for eight or more hours daily.
Flexible Schedule: The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
On-Call Availability: On-call work may be required to respond promptly to organizational, patient, or employee needs.
Effective Communication: Proficient in effective communication, both in person and through various technologies.
Handling Challenging Situations: The role may involve dealing with upset individuals, requiring the ability to de-escalate situations and work effectively with frustrated patients, families, or employees.
Repetitive Tasks: Ability to perform repetitive tasks as needed to fulfill job responsibilities.
Exposures
Tasks Include Potential Exposure: Job tasks may involve exposure to:
bloodborne pathogens, such as blood, bodily fluids, or tissues.
radiation in settings where medical imaging procedures are performed.
various chemicals and medications used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances.
infectious diseases due to contact with patients in areas that may have contagious illnesses.
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.
77353910 Cottonwood Family Medicine Clinic
Working at Bozeman Health is more than just a job--it's a commitment to caring for the communities of Southwest Montana by being their partner in health and wellness, compassionately delivering the best care for each person, every time. In every role, our employees are inspired by their ability to care for our community and our Culture of Excellence guides each employee to be a high performer, engage in transparent and timely communication, demonstrate dynamic learning and teaching, excel through change, express gratitude and experience joy.