Records medical details, gathers data, and coordinates tests, orders and results as necessary to ensure an accurate and complete medical record. Assembles and maintains patients' health information in medical records and charts by assisting medical providers and physicians. No medical decision making is performed.
Accompanies provider during patient examination.
Accurately and thoroughly documents pertinent patient information as instructed by the provider. Records details of chief complaint, history of present illness, review of systems, social history, past medical history, family medical history, allergies, medications, problems and diagnoses, history and physical, and any pertinent positive and negative findings.
May propose orders in the EHR based on clinical setting.
Documents details of procedures and treatments, laboratory test results, radiology test results and assists with documenting radiographic impressions performed by the provider.
Assists with verifying all tests (lab, x ray, EKG, etc.) have been completed and the results have been received, reviewed and recorded in the medical record.
Selects patient education leaflets from the EHR as instructed by the provider.
Assists in preparing paperwork for patient discharge.
Maintains confidentiality of all patient information.
High school diploma/GED or equivalent working knowledge.
Two years of experience in acute care or multi-specialty clinic using electronic medical record software or maintaining medical records.
Additional related education and/or experience preferred.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.