Case Management Coordinator - Onsite - PT 25 hours

Med-Metrix-posted 4 months ago
New York, NY
1,001-5,000 employees
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The Case Management Coordinator supports the operations within required timeframes and collaborates well with all team members in alignment with the organization’s mission and goals. The Case Management Coordinator will perform audits, consolidations, and standardizations of Charge Data Masters (CDM/CGT) and Revenue Integrity workflows. In addition, the Case Management Coordinator will work to improve charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and report generation.

  • Communicate information thoroughly and compose and distribute daily, weekly, and monthly reporting as needed
  • Communicate appropriate and accurate information to the supervisor/director of the Case Management department
  • Input data into the computer systems accurately relevant to all Case Management activities, Utilization Review and other items managed by the Case Management department
  • Maintain electronic and manual files of all Case Management activities, process improvement initiatives and results
  • Forward information to other departments as indicated
  • Utilize various systems to track and report on departmental activity
  • Coordinate and provide reports as requested
  • Manage and review accounts for accuracy and completeness without compromising quality in entering area specific information
  • Adhere to required timeframes and deadlines for reporting and work requirements
  • Effectively identify and communicate barriers preventing accurate data entry and report generation to leadership
  • Manage the Case Management tracking system(s) and reporting functions
  • Request medical records for retrospective review from Health Information Management
  • Other duties as assigned
  • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  • High School diploma or equivalent required
  • 2 years of experience with databases and other spreadsheet reporting software preferred
  • Experience with Case Management software desired (CarePort/Wellsky/MCG/etc)
  • Advanced level of Excel proficiency and experience in financial modeling and analysis
  • Advanced Microsoft PowerPoint and Word skills
  • Ability to complete tasks with a high degree of accuracy
  • Strong analytical and problem-solving abilities, with a data-driven approach to decision-making and a focus on continuous improvement
  • Ability to adapt to a fast-paced and changing environment, managing multiple priorities and deadlines effectively
  • Strong interpersonal skills, ability to communicate well at all levels of the organization
  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results oriented
  • Excellent written and verbal communication skills required
  • Gracious and welcoming personality for customer service interaction
  • Occasional travel may be required
  • May need to work outside of normal business hours on occasion
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