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**Job Type:** Regular

**Time Type:** Full time

**Work Shift:** null

**FLSA Status:** Non-Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Duties include chart assembly, discharge analysis, incomplete records, and chart completion/location. Performs record retrieval/delivery, filing, chart creation, and answering phone requests. Provides back-up for chart mergers and resolution of the transcription error report. Assists with requests for medical record information (ROI).

This is a fully on-site role located in Needham, MA.

Job Description:

**Essential Duties & Responsibilities** including but not limited to:

Assembles all medical record types according to standard chart order. Utilizes Meditech discharge lists to monitor the completion of all daily discharges. Reviews assembled record for required contents and accurately completes the medical record completion form for any missing items (includes reviewing Meditech PCI for dictated reports that may need e-signature). Records accurately any physician incomplete record item into the Meditech Incomplete Record program. Records and reprints any missing record documentation such as the Laboratory Discharge Summary, Radiology reports, and Nursing Documentation.

Competencies:

+ **Decision Making:**  Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.

+ **Problem Solving:**  Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge, and skills based on general precedents.

+ **Independence of Action:**  Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by the supervisor/manager.

+ **Written Communications:**  Ability to communicate clearly and effectively in written English with internal and external customers.

+ **Oral Communications:**  Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families, and external customers.

+ **Knowledge:**  Ability to demonstrate full working knowledge of standard concepts, practices, procedures, and policies with the ability to use them in varied situations.

+ **Team Work:**  Ability to work collaboratively in small teams to improve the operations of immediate work groups by offering ideas, identifying issues, and respecting team members.

+ **Customer Service:**  Ability to provide a high level of customer service to patients, visitors, staff, and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem-solving. Ability to remain calm in stressful situations.

Minimum Qualifications:

Education:

High School diploma or GED required. Associate's degree preferred.

Licensure, Certification & Registration:

N/A

Experience:

0-1 year of related work experience required.

Skills, Knowledge & Abilities:

+ Knowledge of anatomy/physiology and medical terminology preferred. TD-4 filing and knowledge of Federal/State medical record completion requirements are preferred.

+ Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity** **Employer/Veterans/Disabled