Job Summary :
Reporting to the Coordinator, Data Integrity or designate, the Health Records Administrator performs a variety of quantitative analysis and data capture from patient records and performs subsequent data retrieval utilizing a computerized patient information system.
Duties / Accountabilities :
1.Performs data capture in accordance with standards such as corporate dictionary, clinical trial protocols, department procedure guidelines and professional standards of practice by performing duties such as utilizing coding systems and resources to code, abstract and input data.
2.Performs quantitative analysis to ensure that records including paper and electronic records are complete by performing duties such as checking for deficient information and requesting physician to provide additional information.
3.Determines the necessity to pursue deficient information based on Agency policy such as essential information list, protocol and data capture requirements by performing duties such as obtaining deficient information through the identified source or and / or department.
4.Ensures data quality / integrity of assigned work by performing duties such as reviewing the data capture for accuracy and completeness and updating and correcting deficiencies.
5.Attends and / or participates in care provider and other meetings relevant to data capture, management and analysis.
6.Designs and implements data collection tools such as access database by performing duties such as identifying fields, creating database and completing data entry.
7.Assists in the orientation of data clients by performing duties such as explaining data, explaining processes and participating in the transformation of data into information.
8.Retrieves and / or requests data by performing duties such as identifying selection parameters for retrieval, correlating, organizing, calculating statistics and presenting data for reports, audits, studies and other client needs according to established criteria.
9.Participates in continuous quality improvement activities by performing duties such as providing input / feedback to supervisor on processes and opportunities for process improvement.
10.Demonstrates own work procedures to co-workers.
11.Performs other related duties as assigned.
Qualifications :
Education, Training and Experience
Completion of a recognized Health Record Administration program with eligibility for membership in the Canadian College of Health Records Administrators at the Certificate level.
Skills and Abilities
- Demonstrated ability to perform data capture, management and retrieval using an automated information system.
- Demonstrated ability to operate related equipment including windows-based software packages such as word-processing, spreadsheet and database.
- Demonstrated interpersonal skills including the ability to communicate effectively, verbally and in writing with all levels of staff and patients.
- Demonstrated physical ability to perform the duties of the job.