Summary

Responsible for reviewing patient records for completeness and accuracy to insure that the overall management of patient health information is of the highest quality and is maintained in accordance with HIPAA, HITECH, and other regulatory standards. Additionally is responsible for identifying, compiling, abstracting patient data, and coding patient data using the current standard classification systems. Also assists the Health Information Management Director in abstracting clinical information from a patient record for diagnostic code assignment and performs physician queries when necessary.

Job description

Position Summary

Responsible for reviewing patient records for completeness and accuracy to insure that the overall management of patient health information is of the highest quality and is maintained in accordance with HIPAA, HITECH, and other regulatory standards. Additionally is responsible for identifying, compiling, abstracting patient data, and coding patient data using the current standard classification systems. Also assists the Health Information Management Director in abstracting clinical information from a patient record for diagnostic code assignment and performs physician queries when necessary.

Qualifications

To perform this job successfully, an individual must be able to perform each essential core function satisfactorily. The requirements listed below are representative of the knowledge, skill, experience, and ability necessary to perform this job.

Requirements

Ability to perform each essential core function satisfactorily
Knowledge of current standard classification systems
Knowledge of HIPAA and HITECH regulatory standards
Ability to review patient records for completeness and accuracy
Ability to abstract and code patient data
Ability to perform physician queries when necessary

Company overview

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.