Amb Doc Services Spec

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

8/12/2026

Entity:

Wisconsin

Job Code:

440087

Job Title:

Amb Doc Services Spec

FLSA Exemption Status:

Non-Exempt

Management Level:

Individual Contributor

JOB SUMMARY

The Amb Doc Services Specialist is responsible for abstraction of health data from outside healthcare facilities   into the UW Health electronic health record (EHR), entry and/or verification of laboratory data into the EHR, scanning patient reports, and other duties deemed appropriate.  The Amb Doc Services Specialist works independently with supervisory support regarding priority of work and other documentation-related tasks.  Other projects may include testing new or current software applications, documenting changes or issues, keeping track of time spent on various tasks, and/or reporting discrepancies in the patient electronic record. Other responsibilities may include abstraction/documentation-related technical support, answering telephone inquiries, review of provider and/or clinical staff documentation, scanning, and other documentation-related tasks as assigned.

ESSENTIAL DUTIES

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Abstract/enter patient health data into the patient's electronic medical record as instructed, with high degree of accuracy, from completed forms, transferred records or medical reports received from other organizations.

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Applies knowledge of medical documentation/abstraction guidelines (UW Health Style Guide, Abstraction Guidelines) and practices.

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Proficient in referencing and researching with full library of references.

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Recognize, interpret, and evaluate inconsistencies, discrepancies, and inaccuracies in clinical documentation/abstraction appropriately to clarify, flag, or report them, as needed.

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Adhere to policies and procedures to contribute to the efficiency of the department.

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Communicate and interact productively with management personnel with objective feedback as needed.

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Navigate the electronic medical record efficiently and accurately.

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Understand and uphold the medicolegal implications and responsibilities of the healthcare record, ensuring compliance with organizational, local, state and federal policies, rules and regulations, along with security standards and privacy practices.

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Access, update and maintain personal and department file management system.

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Keep a current understanding of UW Health systems, priorities, timelines and goals that contribute to the mission of the department and the organization.

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Continually develop understanding of multiple computer applications and software programs in order to effectively contribute and adapt to the organization’s needs.

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Follow UW Health electronic record documentation expectations, policies and procedures as well as patient privacy policies (HIPAA).

As needed, additional responsibilities reasonably within the scope of duties and physical requirements may be assigned.  ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS AND RESPECT FOR PEOPLE COMMITTMENTS.

X

Non-Clinical

JOB REQUIREMENTS

No minimum education required.

High School Diploma

Preferred

Certification or Associates Degree in Healthcare related field

Preferred

3 years

prior healthcare related experience

Preferred

Certification in a healthcare-related field

Preferred

LICENSE, CERTIFICATIONS, AND REGISTRATIONS MUST BE MAINTAINED PER UW HEALTH POLICY. 

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Knowledge of medical terminology, anatomy and physiology, disease processes, signs and symptoms, medications, and laboratory components required

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Knowledge of the medicolegal implications and responsibilities of the healthcare record, ensuring compliance with organizational, local, state, and federal policies, rules and regulations, along with security standards and privacy practices

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Demonstrate high degree of professionalism and service excellence

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Excellent verbal and written communication skills

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Ability to work as a member of a team

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Proficiency in use of Epic or UW Health Link required; MS Word and Excel preferred

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Excellent knowledge of correct grammar, spelling, sentence structure

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Ability to work in a fast-paced, production –based environment with a high degree of accuracy

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Ability to prioritize work to meet time constraints and deadlines

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Ability to maintain confidentiality of patient health information

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Ability to proofread, verify, copy, edit and/or enter discrete data from one source to another (computer monitor, paper) with a high degree of accuracy

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Ability to comprehend and execute essential job functions, apply basic problem-solving skills, and maintain the level of accuracy and accountability necessary to support operational and organizational objectives.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

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Sedentary: Sedentary work involves lifting no more than 10 pounds at a time and occasionally lifting or carrying articles like docket files, ledgers, and small tools. Although a sedentary job is defined as one which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required occasionally and other sedentary criteria are met.

Up to 10#

Negligible

Negligible

☐

Light: Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg controls. To be considered capable of performing a full or wide range of light work, you must have the ability to do substantially all of these activities. If someone can do light work, we determine that they can also do sedentary work, unless there are additional limiting factors such as loss of fine dexterity or inability to sit for long periods of time.

up to 20#

Up to 10# or requires significant walking or standing or requires pushing/pulling of arm/leg controls.

Negligible or constant push/pull of items of negligible weight

☐

Medium: Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. If someone can do medium work, we determine that they can also do sedentary and light work.

20-50#

10-25#

Negligible-10#

☐

Heavy: Heavy work involves lifting no more than 100 pounds at a time with frequent lifting or carrying of objects weighing up to 50 pounds. If someone can do heavy work, we determine that they can also do medium, light, and sedentary work.

50-100#

25-50#

10-20#

☐

Very Heavy: Very heavy work involves lifting objects weighing more than 100 pounds at a time with frequent lifting or carrying of objects weighing 50 pounds or more. If someone can do very heavy work, we determine that they can also do heavy, medium, light, and sedentary work.

Over 100#

Over 50#

Over 20#

Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

Over 50 lbs.

UW Health does not require, nor does it expect that its employees lift more than 50 lbs unassisted. Objects in excess of 50 lbs should be lifted or moved with mechanical means or through a team lift. Employees in patient care areas are expected to utilize mechanical lifts and adhere to the "Use of Mechanical Lifts (Liko)" policy in the Patient Services Policy and Procedure Manual.

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

THE EMPLOYEE MUST BE ABLE TO COMPLETE ALL PHYSICAL REQUIREMENTS OF THE JOB WITH OR WITHOUT AN APPROVED ACCOMODATION. Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.