Medical Record Retrieval Specialist I/II

Univera Healthcare•Binghamton, NY

29d•$19 - $33

About The Position

Summary: The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities. Essential Accountabilities: Level I Accurately and efficiently retrieves medical records, via remote EMR access, fax and/or on-site at the provider/facility locations. Travels from home to provider offices or facilities to retrieve the medical records, if required. Face-to-face interaction with medical personnel during onsite provider office and facility visit. Communication with medical personnel to schedule or confirm appointments, etc. Completes productivity and progress reports on a daily, weekly and/or monthly basis. Meets or exceeds productivity and accuracy targets as established by management. Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs. Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. Regular and reliable attendance is expected and required. Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) Serves as a liaison between the Plan and designated representatives of the provider office and/or hospitals and vendor(s) in aspects of prospective and/or retrospective chart retrieval for members. This can include but is not limited to requesting and retrieving medical records from providers to the plan for review and for Risk Adjustment Validation Audits (RADV). Acts as a preceptor to new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Facilitates ongoing training for optimal staff functioning. Proposes and develops new desk level procedures (DLP’s) and policies and procedures (P&P’s) as needed to support new and existing department initiatives, audits, and projects. Reviews and updates existing DLP’s, workflows, and P&P’s to ensure accuracy. Establishes and maintains a repository for storing department documentation which may include corporate share drives, wiki, company intranet, and/or corporate website. Collaborates with other operating teams as needed in order to support these activities. Will occasionally lead work groups and manage project deliverables for department projects, policy and procedure reviews, revenue generating initiatives, and audits. Provides written or oral recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. May be assigned additional over read projects/higher work volume than Level I. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.

Requirements

High School diploma or equivalent with a minimum of two years of working experience required.
Strong proficiency in Microsoft Office applications: Word, Excel, Access, and PowerPoint
Successfully completes required training, testing and quality assessments.
Electronic Medical Record/Electronic Health Record experience is required.
Understanding of acceptable Risk Adjustable documentation.
Recognizes and properly handles confidential health information.
Ability to prioritize multiple high-priority tasks.
Must have excellent time management skills, be highly organized, self-motivated.
Ability to multi-task, troubleshoot problems and work within time constraints independently.
Two years of medical record retrieval experience required.
Advanced technical skills for use of MS Office (Excel, Word, Access, and PowerPoint).
Demonstrated ability to utilize a variety of electronic medical records systems.
Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision. Strong time management skills. Must possess high degree of accuracy, efficiency, and dependability.
Demonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization both verbally and written.
Demonstrated organizational and problem-solving ability.
Demonstrated experience in project completion, educational program development and/or group presentation.

Responsibilities

Accurately and efficiently retrieves medical records, via remote EMR access, fax and/or on-site at the provider/facility locations.
Travels from home to provider offices or facilities to retrieve the medical records, if required.
Face-to-face interaction with medical personnel during onsite provider office and facility visit.
Communication with medical personnel to schedule or confirm appointments, etc.
Completes productivity and progress reports on a daily, weekly and/or monthly basis.
Meets or exceeds productivity and accuracy targets as established by management.
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs.
Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
Regular and reliable attendance is expected and required.
Performs other functions as assigned by management.
Serves as a liaison between the Plan and designated representatives of the provider office and/or hospitals and vendor(s) in aspects of prospective and/or retrospective chart retrieval for members. This can include but is not limited to requesting and retrieving medical records from providers to the plan for review and for Risk Adjustment Validation Audits (RADV).
Acts as a preceptor to new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Facilitates ongoing training for optimal staff functioning.
Proposes and develops new desk level procedures (DLP’s) and policies and procedures (P&P’s) as needed to support new and existing department initiatives, audits, and projects. Reviews and updates existing DLP’s, workflows, and P&P’s to ensure accuracy. Establishes and maintains a repository for storing department documentation which may include corporate share drives, wiki, company intranet, and/or corporate website. Collaborates with other operating teams as needed in order to support these activities.
Will occasionally lead work groups and manage project deliverables for department projects, policy and procedure reviews, revenue generating initiatives, and audits.
Provides written or oral recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
May be assigned additional over read projects/higher work volume than Level I.