Health Info Mgmt Rep

CommonSpirit Health•Tacoma, WA

About The Position

As a Medical Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Performs documentation preparation and filing/retrieval procedures per established procedures; scans and indexes medical records into the electronic medical record (EMR) system, including accurately entering, directing and handling patient messaging. Receives, reviews, validates and processes medical information requests from patients, physicians/medical professionals, insurance companies and other third parties. Validates and assigns patient information to the appropriate category/level in the EMR medical record such as: patient identification, date of service and appropriate documentation type. Processes all requests for medical information in accordance with established procedures, policies and Federal and State regulations. Determines validity of authorizations to assure only authorized parties receive information. Responds to incoming phone calls for release of information requests and patient/provider/third party assistance. Prepares incoming correspondence for processing. Processes all requests from the Regional Billing Office for records to be sent to various insurance companies for charge reimbursement per policy. Communicates via work queues/phone to keeps customers apprised of request status and document imaging turnaround time. Maintains electronic-based medical records and other correspondence according to policy, including faxing, receiving and mailing medical records in accordance with HIPAA and other privacy guidelines. Maintains organization of information center and physical charts. Logs/scans release forms and details of request in the appropriate EMR module. Enters appropriate data in the EMR system Release of Information tracking module. Scans authorization forms into the EMR. Accesses/monitors EMR work queue to resolve outstanding matters such as: error correction, chart retrieval, release of information and related healthcare information functions. Copies records/files and carries out the transfer of medical information. Requests hard-copy records from outside facilities. Prepares electronic records for assigned clinics. Conducts routine quality audits of scanned and indexed documents to identify discrepancies to the FMG scanning matrix. Corrects erroneous scans per established policies and procedures to include poor quality scans, incorrect patient documentation, dates of service and sequence of consecutive documents. Produces routine system reports demonstrating compliance with required completion timelines and quality metrics.

Requirements

One year work experience in healthcare, release of information or office setting.

Nice To Haves

Completion of medical record technology program or medical terminology and/or basic computer application courses, upon hire

Responsibilities

Performs documentation preparation and filing/retrieval procedures per established procedures
Scans and indexes medical records into the electronic medical record (EMR) system, including accurately entering, directing and handling patient messaging.
Receives, reviews, validates and processes medical information requests from patients, physicians/medical professionals, insurance companies and other third parties.
Validates and assigns patient information to the appropriate category/level in the EMR medical record such as: patient identification, date of service and appropriate documentation type.
Processes all requests for medical information in accordance with established procedures, policies and Federal and State regulations.
Determines validity of authorizations to assure only authorized parties receive information.
Responds to incoming phone calls for release of information requests and patient/provider/third party assistance.
Prepares incoming correspondence for processing.
Processes all requests from the Regional Billing Office for records to be sent to various insurance companies for charge reimbursement per policy.
Communicates via work queues/phone to keeps customers apprised of request status and document imaging turnaround time.
Maintains electronic-based medical records and other correspondence according to policy, including faxing, receiving and mailing medical records in accordance with HIPAA and other privacy guidelines.
Maintains organization of information center and physical charts.
Logs/scans release forms and details of request in the appropriate EMR module.
Enters appropriate data in the EMR system Release of Information tracking module.
Scans authorization forms into the EMR.
Accesses/monitors EMR work queue to resolve outstanding matters such as: error correction, chart retrieval, release of information and related healthcare information functions.
Copies records/files and carries out the transfer of medical information.
Requests hard-copy records from outside facilities.
Prepares electronic records for assigned clinics.
Conducts routine quality audits of scanned and indexed documents to identify discrepancies to the FMG scanning matrix.
Corrects erroneous scans per established policies and procedures to include poor quality scans, incorrect patient documentation, dates of service and sequence of consecutive documents.
Produces routine system reports demonstrating compliance with required completion timelines and quality metrics.