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The Sutter East Bay Medical Foundation is a not for profit corporation that exists to provide medical services, research and education. The foundation provides the infrastructure for the delivery of physician services, and contracts with a separate corporation comprised of physicians and other care providers to deliver the clinical services. This multi-specialty foundation will provide a platform from which new physicians can be recruited to continue to provide physician services in a nonprofit, community setting. The Foundation's vision is to create a medical group that will deliver high quality, market competitive medical services.
The Medical Records Abstractor abstracts health information from patients' paper medical charts and enters it into EpicCare Electronic Health Record (EHR). The Abstractor ensures information entered into the EHR by this method is accurate and sufficient for clinicians and staff to provide optimal patient care.
Education, License, Certification, and/or Registration: High School Diploma or equivalent required. Bachelor's degree preferred. Certification as R.H.I.T., or R.H.I.T. eligible, or RN license preferred. Prior experience as medical records abstractor may substitute for education qualification.
Experience: 1-2 years experience in health information department preferred. 1-2 years experience in clinical setting preferred. Past experience in data abstracting preferred.
Knowledge: Knowledge of medical terminology, standard medical abbreviations, and pharmacy terms sufficient to identify proper location of specific health information. Working knowledge of clinical workflows to understand types of health information most pertinent to various visits and procedures.
Special Skills/Equipment: Typing speed and accuracy 45 wpm in order to correctly enter necessary volume of data. Ability to read, write, hear, and speak English to the degree required to perform all duties outlined in this job description. Skill in analyzing records and making accurate decisions under established health information regulations. Ability to be self-motivated. Microsoft Windows and Microsoft Office applications preferred. EpicCare experience helpful. CPT Coding and ICD-9 CM helpful.
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keyword: medical record abstractor