MedicalRecordClerk-Transcriptionist-StateHospital
Full Time
Harlingen, TX 78552
$1,987 - $2,640 a month
Posted
Job description
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below.
Transcribes medical and psychiatric dictation using digital dictation system. Reviews and edits transcribed reports or dictated material for spelling, grammar, clarity, consistency and proper medical terminology prior to entry into the patient electronic record.
Reviews, analyzes, and prepares patient documents for scanning into the patient electronic record. Other duties as assigned.
Individual must be available to work hours other than 8:00 - 5:00 pm and participate with weekend and holiday on-call rotation.
Will be under direct supervision by the HIM Team Lead.
Compliance with HHS Immunization Policy required: serologic evidence of immunity to, or documented evidence of vaccination against, measles, mumps, rubella, varicella (chickenpox), Tdap, annual vaccination against influenza (and hepatitis B if applicable).
Transcribes medical and psychiatric dictation using digital dictation system. Reviews and edits transcribed reports or dictated material for spelling, grammar, clarity, consistency and proper medical terminology prior to entry into the patient electronic record.
Reviews, analyzes, and prepares patient documents for scanning into the patient electronic record. Other duties as assigned.
Individual must be available to work hours other than 8:00 - 5:00 pm and participate with weekend and holiday on-call rotation.
Will be under direct supervision by the HIM Team Lead.
Compliance with HHS Immunization Policy required: serologic evidence of immunity to, or documented evidence of vaccination against, measles, mumps, rubella, varicella (chickenpox), Tdap, annual vaccination against influenza (and hepatitis B if applicable).
Essential Job Functions:
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Shall transcribe/enter into CWS all MD History and Physicals, Psychiatric Evaluations, AIMS
Assessments, Columbia Suicide Risk Assessments, Physician Progress Notes, Physician Discharge Order Notes, in accordance with organization and department policy and procedures. Will be responsible for ensuring the editing and proof-reading of all transcribed reports/CWS entries before e-filing in the patient record. Will also maintain a current, complete and accurate log of all completed assessments
Will monitor CWS Concurrent Audit Reports and provide timely notification to physicians and staff to ensure core assessments are completed and finalized within the specified timeframes.
Will retrieve, disassemble and analyze discharge records for completion and accuracy.
Prepares paper records/documents for scanning into the electronic health record. Creates digital images of paper records/documents.
Performs other duties as assigned.
Other duties as assigned by HIM supervisory and management team.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Shall transcribe/enter into CWS all MD History and Physicals, Psychiatric Evaluations, AIMS
Assessments, Columbia Suicide Risk Assessments, Physician Progress Notes, Physician Discharge Order Notes, in accordance with organization and department policy and procedures. Will be responsible for ensuring the editing and proof-reading of all transcribed reports/CWS entries before e-filing in the patient record. Will also maintain a current, complete and accurate log of all completed assessments
Will monitor CWS Concurrent Audit Reports and provide timely notification to physicians and staff to ensure core assessments are completed and finalized within the specified timeframes.
Will retrieve, disassemble and analyze discharge records for completion and accuracy.
Prepares paper records/documents for scanning into the electronic health record. Creates digital images of paper records/documents.
Performs other duties as assigned.
Other duties as assigned by HIM supervisory and management team.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge Skills Abilities:
This position requires medical transcription work experience as well as excellent verbal and written communication skills in order to effectively interact with various discipline levels and patients. Employee must be able to work independently and productively with all levels of staff. Skilled in the use of personal computers and software applications such as Microsoft Word, Excel and Outlook. Must have experience in the use of electronic medical records. Must ensure that no information, facts, or comments learned in the performance of duty are discussed in order to protect the confidentiality of the patients served and/or Rio Grande State Center. Ability to type at least 50 words per minute. Knowledge of the maintenance and review of medical records for timeliness, completeness, accuracy and compliance. Must be able to transcribe physician dictation with minimal error. Job requires being detail oriented and thorough in completing work tasks.
This position requires medical transcription work experience as well as excellent verbal and written communication skills in order to effectively interact with various discipline levels and patients. Employee must be able to work independently and productively with all levels of staff. Skilled in the use of personal computers and software applications such as Microsoft Word, Excel and Outlook. Must have experience in the use of electronic medical records. Must ensure that no information, facts, or comments learned in the performance of duty are discussed in order to protect the confidentiality of the patients served and/or Rio Grande State Center. Ability to type at least 50 words per minute. Knowledge of the maintenance and review of medical records for timeliness, completeness, accuracy and compliance. Must be able to transcribe physician dictation with minimal error. Job requires being detail oriented and thorough in completing work tasks.
Registration or Licensure Requirements:
None.
None.
Initial Selection Criteria:
Must be a graduate from a standard senior high school. Must be a graduate of an accredited Medical Information Specialist / Medical Office certification program or Health Information Technology program.
Must have medical records department, medical office or medical unit clerk work related experience.
Must have knowledge of spelling and use of medical terminology as evidenced by completed skills test.
Must be skilled in the use of Microsoft Office applications to include Word, Excel and Outlook.
Must be able to type a minimum of 40 wpm.
Must be a graduate from a standard senior high school. Must be a graduate of an accredited Medical Information Specialist / Medical Office certification program or Health Information Technology program.
Must have medical records department, medical office or medical unit clerk work related experience.
Must have knowledge of spelling and use of medical terminology as evidenced by completed skills test.
Must be skilled in the use of Microsoft Office applications to include Word, Excel and Outlook.
Must be able to type a minimum of 40 wpm.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted minimum of the salary range.
This position requires excellent verbal and written communication skills. Employee must have strong data entry skills. Employee must be able to work independently and productively with all levels of staff. Employee must have excellent organization and time management skills. Must be able to apply attention to detail to ensure accuracy. Has knowledge of medical office/hospital terminology. Knowledge in the use and maintenance of databases. Ability to cross train in various areas of the health information management department. Must be able to protect the confidentiality and privacy of the clients and patients served by ensuring that no information, facts, or comments learned in the performance of duty are discussed. Employee must be able to participate in weekend and holiday on/call rotations when needed.
According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted minimum of the salary range.
This position requires excellent verbal and written communication skills. Employee must have strong data entry skills. Employee must be able to work independently and productively with all levels of staff. Employee must have excellent organization and time management skills. Must be able to apply attention to detail to ensure accuracy. Has knowledge of medical office/hospital terminology. Knowledge in the use and maintenance of databases. Ability to cross train in various areas of the health information management department. Must be able to protect the confidentiality and privacy of the clients and patients served by ensuring that no information, facts, or comments learned in the performance of duty are discussed. Employee must be able to participate in weekend and holiday on/call rotations when needed.
According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
MOS Code:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 42A, YN, 0111, 3A1X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 42A, YN, 0111, 3A1X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
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