Job Description
Job Summary:
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:
$35,200.00 - $56,200.00 CareSource 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.
Compensation Type:
Hourly
Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.
