Position Purpose:
The Medical Records Technician is responsible for retrieving medical records (both paper and electronic forms) from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews such as Commercial, Medicaid, Medicare Risk Adjustment (MRA), Risk Adjustment Data Validation (RADV), Accountable Care Organization (ACO), and Healthcare Effectiveness Data and Information Set (HEDIS).
Responsibilities:
• Retrieves medical record information from Provider offices and facilities through pulling, breaking down, copying/ scanning, indexing, assembling and uploading medical records into an image data management application
• Uploads all retrieved charts and applicable forms to company server daily
• Completes daily productivity and progress log
• Prepares, receives and submits forms, documentation and correspondences
• Communicating with medical personnel to confirm scheduled appointments
• Face to face interaction with medical personnel during onsite provider office and facility visits
• Additional duties as necessary to meet the obligations of our clients
• A valid driver’s license and insurance/liability policy in the employee's name is mandatory in applicable cities/states when a motor vehicle is necessary for the position. Cities and states this may not apply to: San Francisco, New York, Washington D.C. Management will notify such employees when applicable.
Basic Requirements:
• Must have Document Imaging or Scanning experience
• Minimum 3 years of strong office/customer service administration experience required
• Some medical terminology
• Entry level understanding of healthcare administration
• Basic understanding of HIPAA and PHI
• Basic navigational knowledge of some electronic medical record applications such as; Epic, Allscripts, eClinicalWorks and Nextgen
• Basic understanding of project management methodologies and key terms
• Must have excellent time management skills, be highly organized, self-motivated
• Maintain a high level of productivity and confidentiality
• Excellent customer service, problem solving skills and attention to detail
• Strong knowledge of computer based systems such as Excel, Word, and the Internet with the ability to quickly learn new systems
• The ability to follow through timely on tasks is essential
• Possess excellent written, verbal, and interpersonal communication skills
• Team oriented and leadership skills
• Must possess initiative; tact; poise; neat personal appearance; physical condition commensurate with the requirements of the position
• Some travel required. At times travel within a 30-50-mile radius is expected
Preferred Qualifications:
• HS Diploma/GED required; preferred AA or higher degree or equivalent job related experience
• Registered Health Information Technician (RHIT) certification a plus
PHYSICAL REQUIREMENTS:
While performing the duties of this job, the employee is frequently required to stand; walk and sit. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include color vision. Requires prolonged sitting, some bending, stooping and stretching, requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.