Full employer posting
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees.
Ranked as the No. 1 hospital in Dallas-Fort Worth according to U. S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals.
Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you‿ll discover a culture of teamwork, professionalism, and a rewarding career!
Works under general supervision to record, facilitate and ensure an accurate and complete medical record for each patient, including gathering data and coordinating tests and orders. No medical decision making is peformed. BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees.
Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100% coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION Required Education High School Diploma Experience 1 year of experience working with medical terminology in a medical environment JOB DUTIES Records details of history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies. Record details of physical exam, including pertinent positives and negatives, noted abnormalities and patient general condition.
Submit orders as desired by medical provider and check constantly for results of those orders. Troubleshoot for causes and solutions of any orders that are not completed in a timely fashion or if results are incomplete. Coordinates tests, orders, and results to ensure all health information is recorded accurately and is ready for access by the medical provider.
Lists all proper diagnoses as well as any discharge/follow-up instructions and prescriptions as dictated by the physician or medical provider. Assist in disposition of patient, whether discharged or admitted including discharge instructions, admission orders and prescription forms. Ensures provider closes encounters and accepts transcription.
Performs other duties as assigned. Knowledge, Skills and Abilities Work requires ability to maintain confidentiality and privacy considerations for patients and families according to HIPAA. Work requires ability to quickly learn new applications.
Work requires ability to recognize physical exam process and to record exam details. Work requires accuracy in all phases of work performed. Work requires good communication skills and the ability to coordinate and cooperate with staff and providers.
Work requires good organizational skills. Work requires legible handwriting skills. Work requires working knowledge of medical terminology.
PHYSICAL REQUIREMENTS/WORKING CONDITIONS Working Conditions Hospital Setting Office Setting Salary Information Salary is commensurate with education, skills, and relevant experience. SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community.
As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
About the role
Works under general supervision to record, facilitate and ensure an accurate and complete medical record for each patient, including gathering data and coordinating tests and orders. No medical decision making is peformed.