Medical Record Retrieval Specialist I (Hybrid)

CareFirst•Baltimore, MD

5d•Hybrid

About The Position

The Medical Record Retrieval Specialist I will coordinate and implement activities supporting accurate and timely document management and retrieval efforts, adherence to regulatory and project timelines, and protection of the privacy of individuals' health information according to HIPAA. This role will perform outreach to provider offices to coordinate record retrieval efforts and maintain the provider contact database. This role requires candidates to be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.

Requirements

High School Diploma or GED.
3 years' experience in healthcare operations, medical record retrieval, risk adjustment, audit support, provider outreach, health information management or related operational experience.
Ability to effectively communicate (oral and written) and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Strong organizational skills, ability to prioritize responsibilities with attention to detail.
Knowledge of HIPAA, PHI protection requirements, and healthcare regulatory standards.
Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and Adobe Pro and demonstrated ability to learn/adapt to computer-based tracking and data collection tools.
Self-motivated, able to take initiative, and work independently with minimal oversight to meet timelines, strong follow-through skills and a solutions-oriented attitude.
Intermediate keyboard skills (typing, computer entry).
Ability to work with multiple system applications simultaneously.
Must be eligible to work in the U.S. without Sponsorship.

Nice To Haves

Associate's degree in Healthcare Management, Health Information Management, Business or related field.
Knowledge of medical record retrieval operations, provider workflows, and healthcare documentation requirements.

Responsibilities

Contacts provider offices with a high degree of professionalism and confidence to communicate expectations, charts required, etc.
Establishes relationships with providers and ROI (Request of Information) vendors.
Assists providers offices with the process of sending medical records.
Educates, trains, provides support to providers staff on the different methods to send medical records.
Analyzes and monitors progress of incoming correspondence including medical records to determine which organizations will need additional outreach.
Identifies, investigates, and resolves issues related to incoming correspondence.
Conducts provider outreach and research to locate contact information of medical providers that may be practicing, retired, or otherwise relocated.
Updates and maintains the Provider Database.
Communicates professionally with medical facilities, third party vendors, and Company stakeholders.
Develops tracking and monitoring methods for medical record requests.
Manages and maintains medical records repository.
Ensures accuracy, timeliness of record uploads, compliance with processes to protect PHI, and effective tracking of records and record requests.
Performs processing tasks such as: sorting incoming mail, preparing documents for scanning, retrieving information from Right Fax, and moving documents as appropriate to the repository or vendor platform.
Conducts retrieval of medical records via fax, mail, remote electronic medical record access or onsite visits at the provider location, using computer systems and applications for data entry, edits, and information retrieval as required.
Assumes a key role in the development of new processes and tracking systems to support best practice record keeping and document management procedures.
Identifies process issues and contributes to the design of solutions.
Proactively implements process improvements.
Assists internal team and provider groups to troubleshoot any logistical or technical issues regarding record requests or retrieval.