Chart Procurement Analyst

Arkansas Blue Cross Blue Shield • Arkansas Remote, AR

4d • $47,600 - $61,800 • Remote

About The Position

The Chart Procurement Analyst coordinates the retrieval of medical records for initiatives related to risk adjustment, documentation and coding accuracy and quality measures. The incumbent is responsible for collecting, organizing, and analyzing medical records data. This includes using provider information to create reports about how to streamline the collection and internal sharing of patient records. This position is a liaison between healthcare organizations, copy service vendors, internal departments and the risk adjustment team. This position will work closely with provider network, collaborative health integration, primary care, and quality departments to ensure program efficiencies and streamlined provider communication, collaboration and education as applicable.

Requirements

• Bachelor's degree Business or Healthcare management related field. In lieu of degree, five years’ health related non-clerical experience with an insurance, managed care or healthcare organization will be considered.
• Minimum three (3) years' analysis, research and/or medical coding experience.
• Minimum two (2) years' medical record review experience.
• Possess knowledge of the EMR (Electronic Medical Records) systems or electronic data sources.
• Proficiency working with MS Office Suite, such as Word, Excel, and PowerPoint.

Nice To Haves

• Knowledge of HL7, FHIR, etc. preferred.
• Knowledge of Risk and Quality concepts, related to Medicare Advantage and Affordable Care Act populations preferred.
• Knowledge of Visio or flowcharting software preferred.
• Proficiency with MS Access, MS Project, and SharePoint software preferred.

Responsibilities

• Assists providers with the process of sending medical records
• Assists with risk adjustment business analytics and/or medical coding, which requires the attainment of specialized certifications, training and education
• Collaborates with internal departments, medical offices, and copy service vendors
• Develops and maintains tools to assist with retrieval efforts and researches solutions for retrieval road blocks
• Identifies process improvement opportunities
• Other duties as assigned
• Retrieves, analyzes, coordinates, monitors and conducts reporting of medical records to ensure success of chart retrieval aspects

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level