HIM DENIAL/AUDIT TECH

Covenant HealthCare•Saginaw, MI

17d

About The Position

This position will provide support to the Release of Information process up to and including managing audits/denials. This position will also provide assistance to the HIM Manager and HIM Coordinator, supporting tasks that lead to more efficient processes, tracking and monitoring as part of the Revenue Cycle. Organizational and computer skills, attention to accuracy and details and a willingness to work with many others is a requirement. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation.

Requirements

Associate degree required
Medical terminology required
Must demonstrate a positive and enthusiastic attitude in all interactions
Excellent time management to achieve maximum productivity
Ability to prioritize workload and complete tasks on time
Must be independent and self-motivated with a sound ability to reason and solve problems
Must be able to demonstrate a positive and enthusiastic attitude in all interactions
Must possess initiative and appropriate technical skills necessary to keep abreast of the latest legal developments regarding confidentiality, right to privacy and release of information.
Must be able to communicate well, both verbally and in writing with patients, attorneys, physicians, government agencies, other health care facilities, insurance representatives, and the public
Excellent customer service skills
Attention to detail and accuracy is required.
Ability to maintain regular punctual attendance consistent with ADA, FMLA and other federal, state and local standards
Constant sitting, handling, fingering, feeling, talking and hearing
Constant near, midrange and far vision
Constant lifting 0-10 lbs
Frequent depth perception, color and field vision
Frequent standing, walking, sitting and far vision.
Occasional lifting, pushing, pulling, stooping, kneeling, crouching, crawling, twisting, or reaching
Occasional lift up to 50 lbs

Nice To Haves

RHIA/RHIT or eligible for accreditation preferred
Knowledge of healthcare, HIM, Coding and Epic is strongly desired
Experience in a healthcare setting preferred
Preference will be given to those individuals with previous medical record experience in an acute care setting

Responsibilities

Assists with mail processing.
Track and monitor denial/audit release requests from the billing, denials and coding teams in all formats mail, email, fax.
Assists in preparing appeals to include mailing, faxing and uploading to provider portals.
Submit and monitor medical record requests for specific payor requirements (such as Predictive modeling) to ensure timeliness in response.
Abide by HIPAA and Covenant Values
Demonstrate excellent customer service
May be required to work with outside vendors, payer contacts or others when working to improve processes
Required to work on spreadsheets, graphs, Microsoft Office or other forms and documents
Participating in Process Improvement activities
Active participant on Denials Audit Committee, including compiling analytics and providing feedback to the group.
Complete other projects or tasks as needed or assigned.