HOSPICE MEDICAL RECORD/DISCHARGE ANALYST COORDINATOR

Beth Israel Lahey Health•Plymouth, MN

20d•$22 - $40

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. 40hpw; Day Shift; Monday- Friday Job Description: Duties/Responsibilities: Maintains and controls medical records both onsite for hospital and off-site at contracted skilled nursing facilities. Files all medical and bereavement documentation in a timely manner Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity. Scans external and paper documents including but not limited to HCP, MOLST forms, guardianship and other legal documents into the electronic medical record. Coordinates, and controls Medicare Hospice Plan of Treatment documentation and claims. Faxes Hospice Certification of Terminal Illness to physicians for signature and tracks and ensures timely return. Ensures completeness of documentation prior to submission to physician and business office. Documentation includes, but is not limited to: change of status, physician orders, Hospice Plan of Treatment and other medical record mail and correspondence. Follows up on delinquent orders via telephone/fax to MD’s office. Identifies any documentation inadequacies with physician and/or appropriate parties and clarifies medical record information with courtesy and tact. Files originals in the patient medical record and forwards a copy to the Hospice Billing Department and the Hospice Medical Director. Notifies BIPP patient access of hospice admissions to ensure billing is done accurately. Reads patient records and as needed, discusses patient conditions with physician and nursing supervisor to accurately and completely apply diagnostic, ICD10 codes to each patient condition treated during a hospice admission. Abstracts clinical data from patient records and enters data into computer databases. Serves as the source of clinical data for reimbursement, planning and research. Completely codes/abstracts hospice records. Performs discharge analysis of all discharged records. Notifies supervisor and staff of missing or incomplete documentation. Applies sequencing guidelines to coded data according to official coding rules Applies Uniform Hospital Discharge Data Set definitions to select the principal diagnosis, Maintains current knowledge in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature. (a) Utilizes professional affiliations, etc., in order to maintain current in professional developments. (b) Attends pertinent coding seminars, when available. (c) Maintains updated coding books. Verifies that coded information is entered into the databases without any errors within five (s) days of patient admission. Assesses the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications and comorbid conditions assigned codes. Consults with the appropriate physician and/or parties to clarify medical record information. Verifies and tracks all hospice related medications and equipment are accurately maintained on the Hospice Addendum Ensures confidentiality of all medical record documentation Participates in quality improvement activities as requested Participates in the evaluation and implementation of activities designed to improve departmental operations Maintains medical record forms and office supply inventory Coordinates and maintains an organized system for the filing of medical records and other agency documents to Record Keeper for storage Coordinates assembly of Hospice Patient Admission Packets with the volunteer Coordinator Remains informed of hospice reimbursement reporting requirements and policies. Utilizes technological solutions to work processes and practices. Safety Awareness-fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. Other duties as directed. It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Requirements

Knowledge of medical terminology required.
Working knowledge of physican billing/practice procedures
Demonstrates knowledge of ICD-10-CM to accurately code and abstract encounters.
ICD-10-CM Certification in Medical Billing and Coding required
Excellent organizational and communication skills
Proficient with Microsoft Office Applications
High School Diploma required
Ability to read, write and speak English
ICD-10-CM Certification in Medical Billing and Coding required

Nice To Haves

Associates Degree preferred
Hospice or Home Health experience preferred

Responsibilities

Maintains and controls medical records both onsite for hospital and off-site at contracted skilled nursing facilities.
Files all medical and bereavement documentation in a timely manner
Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.
Scans external and paper documents including but not limited to HCP, MOLST forms, guardianship and other legal documents into the electronic medical record.
Coordinates, and controls Medicare Hospice Plan of Treatment documentation and claims.
Faxes Hospice Certification of Terminal Illness to physicians for signature and tracks and ensures timely return.
Ensures completeness of documentation prior to submission to physician and business office.
Documentation includes, but is not limited to: change of status, physician orders, Hospice Plan of Treatment and other medical record mail and correspondence.
Follows up on delinquent orders via telephone/fax to MD’s office.
Identifies any documentation inadequacies with physician and/or appropriate parties and clarifies medical record information with courtesy and tact.
Files originals in the patient medical record and forwards a copy to the Hospice Billing Department and the Hospice Medical Director.
Notifies BIPP patient access of hospice admissions to ensure billing is done accurately.
Reads patient records and as needed, discusses patient conditions with physician and nursing supervisor to accurately and completely apply diagnostic, ICD10 codes to each patient condition treated during a hospice admission.
Abstracts clinical data from patient records and enters data into computer databases.
Serves as the source of clinical data for reimbursement, planning and research.
Completely codes/abstracts hospice records.
Performs discharge analysis of all discharged records.
Notifies supervisor and staff of missing or incomplete documentation.
Applies sequencing guidelines to coded data according to official coding rules
Applies Uniform Hospital Discharge Data Set definitions to select the principal diagnosis,
Maintains current knowledge in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature.
(a) Utilizes professional affiliations, etc., in order to maintain current in professional developments.
(b) Attends pertinent coding seminars, when available.
(c) Maintains updated coding books.
Verifies that coded information is entered into the databases without any errors within five (s) days of patient admission.
Assesses the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications and comorbid conditions assigned codes.
Consults with the appropriate physician and/or parties to clarify medical record information.
Verifies and tracks all hospice related medications and equipment are accurately maintained on the Hospice Addendum
Ensures confidentiality of all medical record documentation
Participates in quality improvement activities as requested
Participates in the evaluation and implementation of activities designed to improve departmental operations
Maintains medical record forms and office supply inventory
Coordinates and maintains an organized system for the filing of medical records and other agency documents to Record Keeper for storage
Coordinates assembly of Hospice Patient Admission Packets with the volunteer Coordinator
Remains informed of hospice reimbursement reporting requirements and policies.
Utilizes technological solutions to work processes and practices.
Safety Awareness-fosters a “Culture of Safety” through personal ownership and commitment to a safe environment.
Other duties as directed.
It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.