Facility Cape Fear Valley Medical Center Location Fayetteville, North Carolina Department Health Information Management Job Family Clerical Work Shift Evenings (United States of America) Summary Responsible for assuring patient records and loose documentation are prepared and scanned for processing into the electronic document management system with the highest level of quality possible. Responsible for identifying and correcting errors via Verifier module, to provide accurate patient encounter and document type. Responsible for performing quality control functions on scanned charts. Major Job Functions The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time: Verify receipt of all inpatient and/or outpatient discharged records utilizing the reconciliation report Prepare medical record documents for scanning according to procedure Scan documents within the established productivity standards Validate the accuracy and completeness of medical records in the electronic medical record system Confirm the imaged documents are indexed to the correct patient, encounter and document type Confirm the accuracy of the imaged document, identifying items requiring correction and corrective action as needed Ensure the integrity of the legal medical records and strictly uphold patient confidentiality Release patient information consistent with established guidelines Other duties as assigned Minimum Qualifications The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training:

High school graduate or equivalent required

Work Experience:

2 years of Health Information Management experience required Scanning experience preferred

Knowledge, Skills, and Abilities Required:

Proficiency in reading, writing, and speaking the English language Ability to type 40-45 wpm accurately Sufficient keyboard familiarity Intermediate knowledge in the use of computers in a Windows environment Knowledge of general medical record format and content Basic understanding of medical terminology Knowledge of Joint Commission and other regulatory agency chart documentation requirements Organizational skills with the ability to manage multiple priorities and make good independent decisions Attention to detail and quality to include strong recall and recognition skills Ability to work in a team environment as well as self-directed and resourceful in order to work alone when necessary Ability to work under pressure with ongoing time constraints Ability to provide excellent customer service to enhance patient care delivery by assuring timely and accurate access to medical records Excellent written and oral communication skills Positive attitude and enthusiasm

Physical Requirements:

Professional appearance Extended periods of sitting Some instances of reaching, bending, stooping, pushing, and pulling all requiring use of proper body mechanics Ability to work productively in a high volume, high stress work environment Visual acuity for reading and processing charts/information Dexterity of upper extremities and fingers Mental dexterity for accurately sorting medical record documents Light to moderate lifting of up to 25 pounds of boxes containing medical record documents Required Licenses and Certifications Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity For exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time. Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region.