medical records analyst

State of Michigan

JOB
<br>The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit our MDHHS Diversity, Equity, and Inclusion Plan. Medicaid Utilization Analyst 12This position functions as a clinical review professional responsible as the senior analyst conducting clinical reviews of applications/requests for prior authorization of clinical services, procedures, supplies, and/or equipment provided to Medicaid and Children’s Special Health Care Services beneficiaries, and to provide technical assistance and consultation regarding services, products, technology, and standards of coverage. These reviews require a more in-depth. analysis and do not fall within the standard parameters of the normal review process. This position may function in a liaison capacity and/or will consult with Office of Medical Affairs clinicians as needed. This position will participate as an alternate to assure operational turnaround time is met. The expertise of the position is relied upon for formation and interpretation of Medicaid policy, to provide technical knowledge for coverage and service inquiries, to advise on standards of coverage, and to prepare summaries and testify at Administrative Hearings and Department Reviews. The position also serves as the consultant to other department staff, vendors, providers, and beneficiaries for coverage decisions and policy coverage, as well as providing training for less experienced/new division staff.A-Level Position DescriptionMedicaid Utilization Analyst 9 to P11This position functions as a clinical review professional responsible for conducting clinical reviews of applications/requests for prior authorization of clinical services, procedures, supplies, and/or equipment provided to Medicaid and Children's Special Health Care Services beneficiaries, and to provide technical assistance and consultation regarding services, products, technology, and standards of coverage. This position may rely on consultation with more senior staff for reviews of higher-than-normal complexity and will consult with Office of Medical Affairs clinicians as needed. This position will participate as an alternate to assure operational turnaround time is met. The day-to-day PA review experience of the position is relied upon to contribute information from provider submissions, notifying senior staff responsible for formation and interpretation of Medicaid policy and provision of technical knowledge for coverage and service inquiries. This position also prepares summaries and testifies at Administrative Hearings and Department Reviews, and provides basic consultation and information to address PA-related questions within BPHASA and to other departments and agencies, seeking guidance from senior level staff as needed.E-Level Position DescriptionJob SpecificationTo be considered for this position you must: Apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.Relevant experience and/or education referred to in the supplemental questions must be documented in the resume, transcript and/or application to allow for accurate screening.Attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.Attach a cover letter.If applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts. Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.Failure to complete any of the above items may result in your application not being considered. See instructions for attaching files here: Instructions
<br><br>
EXAMPLE OF DUTIES
<br>EducationPossession of a bachelor's degree in audiology, dental hygiene emergency medical technician, medical records administration, medical technology, nuclear medicine technology, nursing, occupational therapy, pharmacy, physician assistant, physical therapy, radiologic technology, rehabilitation, respiratory therapy, speech pathology, or sports medicine.ExperienceMedicaid Utilization Analyst 9 - No specific type or amount is required.Medicaid Utilization Analyst 10 - Two years of professional experience providing clinical patient care requiring documentation of services provided, patient progress, etc. (e.g. nursing/therapy services); or; one year of professional experience analyzing health services or health services utilization data equivalent to a Medicaid Utilization Analyst 9.Medicaid Utilization Analyst P11 - Four years of professional experience providing clinical patient care requiring documentation of services provided, patient progress, etc. (e.g. nursing/therapy services); or; two years of professional experience analyzing health services or health services utilization data equivalent to a Medicaid Utilization Analyst, including one year equivalent to a Medicaid Utilization Analyst 10.Medicaid Utilization Analyst 12 - Three years of professional experience analyzing health services or health services utilization data equivalent to a Medicaid Utilization Analyst, including one year equivalent to a Medicaid Utilization Analyst P11.
<br><br>
SUPPLEMENTAL INFORMATION
<br>This posting is to hire several MUA 9-12 positions. Positions will be filled at the level candidate qualifies for.The physical location of this position is Capitol Center Commons, 400 S. Pine, Lansing, MI. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview. Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including: A secure work location that allows privacy and prevents distractions.A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.Suitable lighting, furniture, and utilities.As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check.The Department of Health & Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.For information about this specific position, please email MDHHSVacancies@michigan.gov. Please reference the job posting number in subject line. Your application for any position does not guarantee you will be contacted by the Department/Agency for further consideration. Only those applicants interviewed will be notified of the results.The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises. If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.Follow us on LinkedIn for more job opportunities! MDHHSJobs #MDHHSJobs #Veteranfriendly #CareersWithPurpose #CommunityHeroes MDHHS is proud to be a Michigan Veteran’s Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer

Medicaid Utilization Analyst 9-12 - HSA Program Review Division

LifeCare Medical Center

<div>
 Job Details
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 <strong>
  Description
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 <strong>
  Highlights of your role:
  <br/>
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 </strong>
 The Record Analyst/HIM Specialist/Medical Transcriptionist transcribes medical dictation for physicians and other health professionals. This HIM role also analyzes medical records for documentation deficiencies and extracts data for quality reporting purposes. Duties include release of information of protected health information, in addition to general medical record maintenance.
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  We invite you to join our team as we continue on our commitment of caring for generations.
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 Since 1915, LifeCare Medical Center has been dedicated to providing quality healthcare in our region. At LifeCare Medical Center, we value every person and take our patient&rsquo;s healthcare needs seriously. Our employees are the foundation for our success. We&rsquo;ve fostered a collaborative environment centered around compassion, accountability, respect and excellence. At LifeCare, you will have the opportunity to thrive in a life changing career, within a culture of teamwork, professionalism, and respect. As the third largest employer in Roseau County, LifeCare Medical Center is continually looking for motivated, dedicated, and compassionate leaders who are passionate about delivering the best in healthcare services. We are committed to our communities and take pride in our medical heritage.
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  Job Details
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 Location: LifeCare Medical Center Roseau
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 Shift: Day
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 Job Schedule: Full time
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 Hours: 8-4:30
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 FTE: 1
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 Weekends: No
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 Holidays: No
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 <ul>
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   Pay Range: $20.69-$28.96
  </li>
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   It is not typical for an individual to be hired at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case and on several factors including relevant work experience, education, certification &amp; licensure, and internal equity. Hourly pay is just one part of the compensation package for employees.
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  </li>
 </ul>
 <strong>
  What You&rsquo;ll Get To Do In This Role
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  <br/>
 </strong>
 Transcribes or edits medical dictation for physicians and other healthcare professionals using correct medical terminology, spelling and punctuation.
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 Analyzes medical records for documentation deficiencies/inaccuracies, including imaging reports.
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 Releases protected health information to a variety of requestors.
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 Abstracts and compiles data for quality measures, risk management etc.
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 Completes birth registration according to guidelines set forth from the Minnesota Department of Vital Statistics.
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 Assists utilization review in admission authorization/certification of hospital services.
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 Extracts data from the electronic record system for reporting purposes including quality measures, registries and statistical reports.
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 Performs various clerical and administrative functions as requested by Nursing, Medical Staff and other departments.
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 <strong>
  You&rsquo;re An Excellent Fit, If You Have
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  <br/>
 </strong>
 <ul>
  <li>
   medical secretary program, experience preferred
  </li>
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   thorough knowledge of anatomy, medical terminology, medical procedures, medications, and laboratory test information
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   knowledge of medical records procedures and practices
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   competency with transcribing equipment and software
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   good attention to detail; strives for accuracy
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   ability to work independently
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   high degree of self motivation
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   ability to work in teams with other departments
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  </li>
 </ul>
 <strong>
  Benefits Statement
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  <br/>
 </strong>
 LifeCare Medical Center offers an attractive benefits package for qualifying employees. Depending upon eligibility, we offer a variety of benefits including health, dental, and life insurance. We also offer short and long-term disability, tuition assistance, a 403(b)-retirement plan, and a generous time off package to help employees maintain a healthy work-life balance.
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 <em>
  The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.
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  LifeCare Medical Center is an Equal Opportunity Employer (EOE)
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</div>


Onsite Record Analyst/HIM Spec/Transcriptionist

Guidehouse

<div><p>Job Family:</p>
Medical Records<p><br>
Travel Required:</p>
None<p><br>
Clearance Required:</p>
None<p>
What You Will Do:</p><p>
The HIM Release of Information Coordinator role is the foundation of the HIM Department operations and has significant impact on Patients, Physicians and Clinicians as well as the Organization. The HIM Analyst role is crucial to compliant, timely and accurate medical records and release of information to support continuity of care, and Department operations. Under the direction of HIM Department Leadership, the HIM Analyst is responsible for any or all of the below daily operational work in various technical aspects of the HIM Department.</p><p>
This is a full-time position based at the CMH hospital Monday through Friday, 100% ONSITE. Working hours are 8:00 AM - 4:30 PM PT.</p><p>
Primary work is answering department phone, processing continuity of care and patient ROI requests, review subpoenas to validate, crossed trained in all the other types of ROI for coverage.</p><ul><li><p>
Medical Record Processing</p></li><li><p>
Physician Suspension</p></li><li><p>
Birth &amp; Death Certificates</p></li><li><p>
Release of Information</p></li><li><p>
Medical Record Quantitative and/or Qualitative Review</p></li><li><p>
Submission of State Required Reports / Vital Statistics</p></li></ul><p>
Medical Record Processing:</p><ul><li><p>
Responsible for timely and accurate collection and filing of Department identified disparate documentation and/or data into the EHR; including paper and electronic file Prep, Scanning and Indexing (ex. Paper, Faxed or Scanned Files, Files on Shared Drives, Dictations, Interfaced testing, Diagnosis/Procedure Coding)</p></li><li><p>
Performs quality monitoring of patient medical records; ensure integrity of the patient medical record; one patient per MRN, complete and consistent encounter documentation</p></li><li><p>
Evaluates medical records for missing documentation, authentication, inaccurate or incomplete information and assigns documentation deficiencies to the appropriate physician</p></li><li><p>
Fluent in all policies and procedures related to Chart Processing and Deficiencies</p></li></ul><p>
Physician Suspension:</p><ul><li><p>
Assists physicians with completion of incomplete records; provides training for physicians for the electronic completion of incomplete records</p></li><li><p>
Responsible for timely, accurate &amp; complete notifications to physicians of deficiencies &amp; delinquencies</p></li><li><p>
Contact physicians timely and in the modes expected to provide every opportunity to assist with completion of medical record deficiencies to avoid Suspension</p></li><li><p>
Effect and Remove Suspension of physician privileges for delinquent medical records in accordance with policies and procedures</p></li><li><p>
Fluent in all policies and procedures related to Chart Processing, Physician Notifications, Deficiencies and Delinquencies and Suspension</p></li></ul><p>
Birth &amp; Death Certificates:</p><ul><li><p>
Responsible for preparing a Certificate of Live Birth for each birth that occurs at the Client including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the birth</p></li><li><p>
Responsible for preparing a Certificate of Death for each death that occurs including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the death</p></li><li><p>
Follows security procedures to restrict access to the blank and completed certificates to authorized personnel only</p></li></ul><p>
Release of Information:</p><ul><li><p>
Assist Requestors with proper submission of ROI Requests (via phone, walk-in, portal, etc.)</p></li><li><p>
Receive &amp; log requests accurately and timely, in accordance with policy and procedure (mail, fax, email, portal, etc.)</p></li><li><p>
Validate Requests are Compliant prior to processing / Notify Requestors appropriately and timely when additional information is required</p></li><li><p>
Coordinate on-site record reviews; assists requestors with access to and release of information</p></li><li><p>
Receive &amp; Process Patient Amendment and Accounting of Disclosure Requests</p></li><li><p>
Fluent in all organization and Department policies and procedures related to ROI</p></li></ul><p>
Medical Record Quantitative and/or Qualitative Reviews:</p><ul><li><p>
Perform regular and/or adhoc medical record reviews at the direction of leadership</p></li></ul><p>
Submission of State Required Reports / Vital Statistics:</p><ul><li><p>
Compile &amp; submit State Required Reports at the direction of leadership</p></li><li><p>
Compile &amp; submit Vital Statistics at the direction of leadership</p></li></ul><p>
Responsibilities to Client:</p><ul><li><p>
Ensure excellent Customer Service in all interactions including but not limited to Written and Verbal communications in person, on the phone, over email and in any meetings</p></li><li><p>
Follow all applicable policies and procedures related to being onsite or telecommuting</p></li><li><p>
Meet or Exceed performance expectations of the Client</p></li><li><p>
Anticipate customer needs and initiates action to meet and/or exceed those needs</p></li><li><p>
Identify and recommend ways to improve Client satisfaction</p></li></ul><p><br>
What You Will Need:</p><ul><li><p>
High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED.</p></li><li><p>
0-2+ year's experience working in an office, business, operations, customer service or healthcare field.</p></li></ul><p><br>
What Would Be Nice To Have:</p><ul><li><p>
Understand and apply HIPAA regulations</p></li><li><p>
Use office equipment and has basic computer skills and knowledge</p></li><li><p>
Understand and work when given oral and written instructions</p></li><li><p>
Work with minimum supervision after being given instruction</p></li><li><p>
Identify problems related to job duties and to communicate these to the supervisor in a timely manner.</p></li><li><p>
Communicate effectively and work well with others.</p></li></ul><p>
#IndeedSponsored</p><p>
#LI-DNI</p>
The annual salary range for this position is $38,000.00-$63,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.<p><br>
What We Offer:</p><p>
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.</p><p>
Benefits include:</p><ul><li><p>
Medical, Rx, Dental &amp; Vision Insurance</p></li><li><p>
Personal and Family Sick Time &amp; Company Paid Holidays</p></li><li><p>
Position may be eligible for a discretionary variable incentive bonus</p></li><li><p>
Parental Leave</p></li><li><p>
401(k) Retirement Plan</p></li><li><p>
Basic Life &amp; Supplemental Life</p></li><li><p>
Health Savings Account, Dental/Vision &amp; Dependent Care Flexible Spending Accounts</p></li><li><p>
Short-Term &amp; Long-Term Disability</p></li><li><p>
Tuition Reimbursement, Personal Development &amp; Learning Opportunities</p></li><li><p>
Skills Development &amp; Certifications</p></li><li><p>
Employee Referral Program</p></li><li><p>
Corporate Sponsored Events &amp; Community Outreach</p></li><li><p>
Emergency Back-Up Childcare Program</p></li></ul><p>
About Guidehouse</p><p>
Guidehouse is an Equal Opportunity Employer&ndash;Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.</p><p>
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.</p><p>
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.</p><p>
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.</p><p>
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse&rsquo;s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant&rsquo;s dealings with unauthorized third parties.</p><p>
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.</p></div>

HIM - Release of Information Coordinator

Adventist HealthCare

<div>AHC Learning - FWMC Lantz Building<div></div><div><i><br>
</i></div>
Fort Washington Medical Center seeks to hire a HIM Analyst who will embrace our mission to extend God&rsquo;s care through the ministry of physical, mental and spiritual healing.<br>
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As a HIM Analyst you will:<br>
<ul><li>Reviews the medical record for completeness, accuracy, and consistency according to The Joint Commission, Medical Staff Bylaws and Rules and Regulations.</li><li>Analyze electronic charts for record completion to track and manage deficiencies</li><li>Locate, track, and coordinate electronic documents, including transcription</li><li>May assist with chart pickup, as time permits, and with reconciling retrieved medical records against patient discharge lists, ensuring receipt of all records within 24 hours of patient discharge</li><li>May batch, label and route loose reports, late charts/documentation for scanning and may scan and index loose reports/documents that are critical to coding, prioritizing according to policy</li><li>Additional duties as assigned</li></ul><br>
Qualifications include:<br>
<ul><li>High school graduate or GED</li><li>Associate or bachelor&rsquo;s degree in HIM, preferred</li><li>5+ year experience in HIM</li><li>RHIT, preferred</li></ul><div></div><div>
Work Schedule:</div><div>
Employment Type: Full-time<br>
Hours per Week: 40 hrs/week<br>
Typical Daily Schedule: 8:00 AM&ndash;4:30 PM Monday through Friday<br>
Shift Type: Day</div><div></div><div>
Pay Range:</div>
$19.21 - $24.90<div>
If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.</div><div></div><div>
Under the Fair Labor Standards Act (FLSA), this position is classified as:</div>
United States of America (Non-Exempt)<div></div><div>
At Adventist HealthCare our job is to care for you.</div><div>
We do this by offering:</div><ul><li><div>
Work life balance through nonrotating shifts</div></li><li><div>
Recognition and rewards for professional expertise</div></li><li><div>
Free Employee parking</div></li><li><div>
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire</div></li><li><div>
Employer-paid Short &amp; Long-Term Disability, Basic Life Insurance and AD&amp;D, (short-term disability buy-up available)</div></li><li><div>
Paid Time Off</div></li><li><div>
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period</div></li><li><div>
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness &amp; accident insurance</div></li><li><div>
Subsidized childcare at participating childcare centers</div></li><li><div>
Tuition Reimbursement</div></li><li><div>
Employee Assistance Program (EAP) support</div></li></ul><div></div><div>
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.<br>
<br>
If you want to make a difference in someone&rsquo;s life every day, consider a position with a team of professionals who are doing just that, making a difference.</div><div><br>
Join the Adventist HealthCare team today, apply now to be considered!</div><div></div><div>
COVID-19 Vaccination</div><div>
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.</div><div></div><div>
Tobacco and Drug Statement</div><div>
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.</div><div></div><div><br>
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.</div><div></div><div><br>
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. (&quot;Nicotine products&quot; include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).</div><div></div><div>
Equal Employment Opportunity<br>
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.</div><div></div><div>
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants&rsquo; religious beliefs.</div><div></div><div>
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.</div></div>

HIM Analyst, Day Shift, Patient Financial Services

Columbus State Community College

<div>Compensation Type: Salaried<div><br>
</div>Compensation: $58,732.80<div><br>
</div><div><div><div><div><div><div><div><div>Job Summary</div></div></div></div></div></div></div></div>
The Functional Analyst, Records Management supports Enrollment Services by serving as the subject matter expert for the student information system and related institutional software used in enrollment and records management. This role executes key operational processes, evaluates and maintains documentation, and manages internal and external reporting and communications related to records management procedures.<div></div><div>
ESSENTIAL JOB FUNCTIONS:</div><div>
Systems &amp; Project Support</div><div></div><ul><li><div>
Completes batch processing of student record updates and communications.</div></li><li><div>
Collaborates with colleagues across Enrollment Management and Student Services (EMSS) division and the College to solve cross-functional issues, support coordination of processes, and improve communication.</div></li><li><div>
Provides technical support to ensure critical functioning for student information systems and applications in areas such as admissions, registration, and student records.</div></li><li><div>
Review requirements with IT analysts/developers; designs and executes comprehensive testing.</div></li><li><div>
Implements system technological enhancements in cooperation with the Information Technology division and other campus entities.</div></li><li><div>
Participates in related project meetings.</div></li><li><div>
Develops in-depth knowledge of an enrollment service area and recommends process improvements based on system functionality.</div></li><li><div>
Tests and applies student information system (SIS) upgrades and patches as necessary to ensure compatibility to existing system services.</div></li><li><div>
Supports SIS module custodians; applies functional knowledge to design and enhance the technical support for the College&rsquo;s policies and processes; collects and analyzes data and information to recommend business process solutions leveraging current and future college technologies.</div></li><li><div>
Designs and conducts business process mapping; identifies system enhancements and business workflow to increase efficiency and effectiveness; creates functional requirements documents in collaboration with module custodians using industry best practices.</div></li><li><div>
Serves as a functional analyst for approved projects; participates in project meetings; provides information regarding delivered Colleague, Radius, and Hyland OnBase functionality to support project goals; coordinates with project manager; develops comprehensive test scripts; oversees user acceptance testing; coordinates system testing with IT analysts and developers; provides postproduction support for completed projects.</div></li></ul><div></div><div>
Record &amp; Document Management</div><ul><li><div>
Manages student records and related processes, including but not limited to records maintenance and research registration.</div></li><li><div>
Processes grade changes as well as corrections and changes to demographic record information and posts high school articulation updates and prior learning assessment updates in the student information system and stored in the student record in the document management system.</div></li><li><div>
Processes multiple types of registration request activity following college practices, restrictions, and deadlines.</div></li><li><div>
Stores all registration adjustment request documentation in the student record in the document management system.</div></li><li><div>
Makes any notations needed within the student information system and appropriate databases regarding registration activity and/or records updates. Manages the registration mailbox for appropriate disposition of all emailed registration requests.</div></li></ul><div></div><div>
Reporting &amp; Customer Service</div><ul><li><div>
Communicates with internal partners regarding admissions, student records, and registration-related systems and processes in relation to the enrollment process.</div></li><li><div>
Interacts with College departments, external stakeholders, higher education institutions, high schools, and other community entities.</div></li><li><div>
Manages organizational inboxes and communicates with partners and students regarding enrollment and registration needs.</div></li><li><div>
Maintains confidentiality of student records and other sensitive information.</div></li></ul><div></div><div>
Data Analysis &amp; Maintenance</div><ul><li><div>
Maintains and updates data and statistics of student record information in College databases.</div></li><li><div>
Responds to data requests and meets with involved parties to document data and reporting needs.</div></li><li><div>
Performs configuration tasks and set-up as directed.</div></li><li><div>
Applies data definitions for reporting.</div></li><li><div>
Provides analyses of data pulls.</div></li><li><div>
Assists in development of presentation documents, including graphs, etc.</div></li></ul><div></div><div>
Culture of Respect</div><ul><li><div>
Fosters and maintains a safe environment or respect and inclusion for faculty, staff, students, and members of the community.</div></li></ul><div></div><div>
OTHER DUTIES &amp; RESPONSIBILITIES</div><ul><li><div>
Attends all required department meetings and trainings.</div></li><li><div>
Manages multiple assignments of varying complexity while meeting federal and state, as well as internal regulations and procedures.</div></li><li><div>
Demonstrates the ability to adapt to changing needs of the College and business partners.</div></li><li><div>
Hours may include working outside of normal workweek schedule as needed to meet workload demands.</div></li></ul><div></div><div>
*Regular, predictable, and punctual attendance is required*</div><div></div><div>
MINIMUM EDUCATION AND EXPERIENCE REQUIRED</div><ul><li><div>
Bachelor&rsquo;s degree</div></li><li><div>
Three (3) years of systems maintenance, admissions operations, enrollment operations, record management, or other related experience.</div></li></ul><div></div><ul><li>An appropriate combination of education, training, coursework and experience may qualify a candidate.</li></ul><div></div><div>
WORKING CONDITIONS</div><ul><li><div>
Typical office environment. Regular exposure to moderate noise typical to business offices.</div></li></ul><div></div><ul><li><i>CSCC has the right to revise this position description at any time. This position description does not represent in any way a contract of employment.</i></li></ul><div></div><div><div><div><div><div><div><div><div>
Full Time/Part Time:</div></div></div></div></div></div></div></div>
Full time<div></div><div><div><div><div><div><div><div><div>
Union (If Applicable):</div></div></div></div></div></div></div></div><div></div><div><div><div><div><div><div><div><div>
Scheduled Hours:</div></div></div></div></div></div></div></div>
40<div></div><div>
Additional Information</div><div></div><div>
In order to ensure your application is complete, you must complete the following:</div><ul><li><div>
Please ensure you have all the necessary documents available when starting the application process. For all faculty positions (Instructor, Annually Contracted Faculty, and Adjunct), you will need to upload an unofficial copy of your transcript when completing your aplication.</div></li><li><div>
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.</div></li></ul><div></div><div><i>
If you are a current employee of Columbus State Community College, please l</i><i>og in to Workday to use the internal application process.</i></div><div></div><div>
Thank you for your interest in positions at Columbus State Community College. Once you have applied, the most updated information on the status of your application can be found by visiting your Candidate Home. Please view your submitted applications by logging in and reviewing your status.</div></div>

Functional Analyst, Records Management

Freedman Clinic Of Internal Medicine

<p>```Duties```<br/>- Review and analyze medical records and patient bills to ensure accurate coding and billing<br/>- Assign appropriate medical codes using ICD-10,<br/>- Verify insurance coverage and obtain necessary authorizations for medical procedures<br/>- Prepare and submit claims to insurance companies for reimbursement<br/>- Follow up on unpaid claims and resolve any billing discrepancies or denials<br/>- Maintain patient billing records and update information as needed<br/>- Answer patient inquiries regarding billing and insurance coverage<br/>- Collaborate with healthcare providers to ensure accurate documentation and coding</p><p>```Qualifications```<br/>- High school diploma or equivalent required<br/>- Previous experience in medical billing or coding required<br/>- Proficiency in medical terminology, coding systems, and billing software/systems<br/>- Knowledge of ICD-10 and other coding guidelines and regulations<br/>- Strong attention to detail and accuracy in coding and billing processes<br/>- Excellent communication skills, both written and verbal<br/>- Ability to work independently and prioritize tasks effectively<br/>- Familiarity with medical collection processes is a plus</p><p>Job Type: Full-time</p><p>Pay: $10.00 - $14.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Medical Insurance Biller

Crossroads

<div><h2 class="jobSectionHeader"><b>Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
</b></h2><p></p><p>Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.
</p><h1 class="jobSectionHeader"><b><i>Day in the Life of a Medical Records Coordinator</i></b></h1><p></p><ul><li><p>
Manage medical coding payer and recoupment reviews to ensure coding accuracy or appeal eligibility.</p></li><li><p>
Review CPT/HCPCS codes from payer audits and recoupments to determine the appropriate documentation to support the services.</p></li><li><p>
Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records.</p></li><li><p>
Be knowledgeable of billing and coding requirements for governmental and private insurance payers.</p></li><li><p>
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding documentation for all assigned services.</p></li><li><p>
Manage medical records request email and log request accordingly.</p></li><li><p>
Initiates the medical record, ensuring that patient identifying information is on all documentation and accurate.</p></li><li><p>
Communicate with payers and third parties on behalf of payers regarding medical record requests and portal access.</p></li><li><p>
Compile medical records as needed for payer requests and third-party request on behalf of payers related to paid claims.</p></li><li><p>
Process requests for information from outside sources in a prompt fashion, including answering phones and corresponding with outside entities to receive or send information.</p></li><li><p>
Upload and enter medical records into the payer portal or send by other encrypted means of data transfer.</p></li><li><p>
Responsible for safeguarding patient records in line with State and Federal regulation, as well as accreditation standards.</p></li><li><p>
Assist with medical record audits, as needed, to ensure accuracy and quality.</p></li><li><p>
Communicates with Lead Medical Coding Compliance Auditor and Director of Medical Coding Compliance about any chart discrepancies or deficiencies as well as large payer audits.</p></li><li><p>
Working knowledge of HIPAA to ensure confidentiality of patient information and medical records.</p></li><li><p>
Communicate with people of all levels in the organization and external agencies.</p></li><li><p>
Track completion of Medical Records Request.</p></li><li><p>
Manage incoming mail; sorting, logging, and redirecting as necessary.</p></li><li><p>
Assist in providing data for summary reports for the Chief Compliance Officer.</p></li><li><p>
Attending and reporting at weekly team calls with Lead Medical Coding Compliance Auditor, Director of Medical Coding Compliance, and Chief Compliance Officer.</p></li><li><p>
Attend weekly meetings with other Medical Record Coordinators.</p></li><li><p>
Determines method of completing daily workload and priorities to ensure that all responsibilities are carried out in a timely manner.</p></li><li><p>
Other duties and responsibilities pertaining to medical coding compliance monitoring as requested by the Director of Medical Coding Compliance or Chief Compliance Officer.</p></li></ul><p></p><h1 class="jobSectionHeader"><b><i>
Education and Experience requirements</i></b><b>:</b></h1><ul><li><p>
Certified Professional Coder (CPC&reg;), CCS, CCS-P, CPC-A, or CCA preferred. <b>Minimum CPC-A required.</b></p></li><li><p>
High School diploma, GED or equivalent.</p></li><li><p>
Minimum of 1 year of coding experience to identify correct ICD-10-CM and CPT/HCPCS codes preferred</p></li><li><p>
1 Year working with Medical Records in a healthcare facility preferred</p></li><li><p>
Understanding of medical terminology and administrative processes a plus</p></li><li><p>
Computer literate adept skill level on MS Office applications.</p></li><li><p>
Experience in Mental Health or Addiction Medicine a plus.</p></li></ul><p></p><h1 class="jobSectionHeader"><b><i>
Schedule</i></b></h1><p></p><p>
Candidates may start between 7:00 AM to 9:00 AM EST and work an eight-hour shift Monday through Friday.</p><p></p><p>
Position is on-site in Downtown Greenville office.</p><p></p><h1 class="jobSectionHeader"><b><i>
Position Benefits</i></b></h1><ul><li><p><b>
Have a daily impact on many lives</b>.</p></li><li><p><b>
Excellent training if you are new to this field.</b></p></li><li><p><b>
Mileage reimbursement (if applicable) </b>Crossroads matches the current IRS mileage reimbursement rate.</p></li><li><p><b>
Opportunity to save lives every day!</b></p></li></ul><p></p><h1 class="jobSectionHeader"><b><i>
Benefits Package</i></b></h1><ul><li><p>
Medical, Dental, and Vision Insurance</p></li><li><p>
PTO</p></li><li><p>
Variety of 401K options including a match program with no vesture period</p></li><li><p>
Annual Continuing Education Allowance (in related field)</p></li><li><p>
Life Insurance</p></li><li><p>
Short/Long Term Disability</p></li><li><p>
Paid maternity/paternity leave</p></li><li><p>
Mental Health day</p></li><li><p><i>
Calm </i>subscription for all employees</p></li></ul></div>

Medical Records Coordinator (CPC-A) - Greenville, SC

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