Job Description
The Medical Records Coordinator II is responsible for all forms and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Requests of Information (ROI) deployment, pend-record resolution, medical record audits, attestation capture, and report documentation. This position is remote and there will be travel within the state of WI for records retrieval.
Essential Functions:
-- Execute the request, retrieval, and pend resolution of medical records through various channels
-- Utilize custom and SFTP portals to facilitate PHI data transfer
-- When needed provide personal information necessary to gain access to health network systems
-- Collaborate with health systems and provider offices to execute, and document their process for release of information requests
-- Update operational databases, and provide context by documenting commentary
-- Navigate and properly escalate obstacles to medical record retrieval
-- Support and implement process improvements with external and internal partners
-- Utilize the MS Office Suite including, but not limited to MS Teams, Office, Excel, Outlook, and Word to facilitate record retrieval and execute mail merges
-- Verify retrieved medical records' accuracy
-- Partner across CareSource's department matrix to address operational needs
-- Support and maintain medical record repository
-- Manage provider practice and health network relations to minimize provider abrasion
-- Populate chase specific reports to drive and reflect the execution of risk adjustment programs
-- Support and refine implementation of risk adjustment processes across all lines of business
-- Research claims data to produce information optimized for chart retrieval
-- Reconcile retrieval related invoices
-- Perform any other job duties as requested
Education and Experience:
-- High School Diploma or equivalent required
-- Minimum one (1) year healthcare experience preferred
-- Minimum one (1) year medical records experience preferred
-- Competencies, Knowledge and Skills:
-- Intermediate proficiency in the Microsoft Office Suite
-- Verbal and written communication skills
-- Ability to work independently and within a team environment
-- Attention to detail
-- Critical listening and thinking skills
-- Time management skills
-- Proper phone etiquette
-- Data analysis
-- Business analysis
-- Project management
-- Customer service oriented
-- Brand ambassadorship
-- Decision making/problem solving skills
-- Takes initiative to research and resolve obstacles
-- Must be able to self-direct work when given a goal/task
Licensure and Certification:
None
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
May be required to travel
Compensation Range:
$65,200.00 - $96,200.00
Compensation Type (hourly/salary):
Hourly
Anova Care takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
In addition to amazing teammates, we also offer:
-- Health, dental, and vision insurance with a choice of many different plans/costs partially subsidized by us
-- Paid vacation
-- Paid Sick/personal days
-- ~12 paid holidays
-- One time reimbursement to set up your home office
-- Monthly reimbursement for internet or other home office expenses
-- Monthly gym reimbursement to be used for gyms, online classes, etc
-- Basic Life & AD&D, Short-term and Long-term Disability Benefits paid fully by us
-- Voluntary benefits such as Pet, Home and Auto, Legal Insurance plus more
-- Pre-tax Flex Spending/Dependent Care/Transit accounts
-- 401k with match
-- Pay rate is $25.00 - $40.00 hourly.
Anova Care is committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. Anova Care is an Equal Opportunity/Affirmative Action Employer. Candidates are selected without regard to race, color, religion, sex, national origin, disability, marital status, or sexual orientation, in accordance with federal and state law.
Employment Type: Full-Time
Salary: $ 65,000.00 96,000.00 Per Year
Job Tags
Hourly pay, Holiday work, Full time, Temporary work, Home office,