Surgical Services Registrar (Analyzing Medical Record Charts) Mon-Fri 8-5

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.

Primary Purpose

Abstracts medical charts of Surgical ICU and Emergency General Surgery patients treated at PHHS to ensure accurate reporting of registry data to maintain accreditation and compliance with regulatory agencies.

Education

*Must have one year experience analyzing medical record charts; or equivalent combination of education and experience.

Skills or Special Abilities

*Must be able to demonstrate knowledge of anatomy and physiology concepts.

*Must be able to demonstrate knowledge of medical terminology.

*Must be able to interact well with physicians and other hospital staff on a daily basis. Must have excellent written and oral communication skills and be able to function with minimal supervision.

*Must be able to demonstrate a working knowledge of PC and word processing, spreadsheet and database software. Must be able to learn ICD-9 codes.

Responsibilities

1.Abstracts medical charts of Surgical ICU or Emergency General Surgery patients meeting registry inclusion criteria at PHHS.

2.Accurately records information including diagnosis, treatment and procedures into the appropriate repository to ensure proper record keeping of patient treatment.

3.Maintains patient tracking logs, forms and documentation that supports data repository.

4.Responsible for analyzing various admission reports to identify specific patient populations.

5.Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact data repositories. Develops effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans. Seeks advice and guidance as necessary to ensure proper understanding.

6.Identifies ways to improve work processes and improve customer (internal as well as external) satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals and mission of the department, division and PHHS.

7.Stays abreast of the latest developments, advancements, and trends in surgical management by attending seminars and workshops, reading professional journals, and integrating this knowledge as appropriate into the job.

Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.