Chart Management Coordinator II

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide. Think you are a great fit? Learn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships. The Chart Management Coordinator II (CMC) performs a variety of Health Information Management (HIM) administrative duties to include medical record retrieval, storage, and maintenance. Additionally, the individual in this role assists with claim scrubs, rejections, and related billing operations to ensure correct claims submission. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities Pulls and retrieves medical records and associated encounter documents from disparate Hospital Electronic Health Record (EHR) systems for coding and billing processingManages and maintains Hospital EHR accesses and assures HIPAA and information security compliance to each hospital’s business agreement and access privilegesWorks with our Internal Practice Management Software for Medical Record retrievalCoordinates and completes requests for the release of medical records to both internal and external customers, patients, and agenciesCompiles medical record requests for insurance carrier audits and appealsCoordinates attorney and subpoena requests with Healogics Office of the General CounselTroubleshoots missing and/or incomplete medical documentationIdentifies corrective actions and coordinates directly with providers, Program Directors, Revenue Cycle Managers, and other Operations resourcesReviews E-Print Chart Management Report daily for scanning and uploading of medical documentation (EHR) to our Practice Management Software systems for billingAssists and research coder identified “Deficiencies” within the LightSpeed Vericode platform; facilitates corrective actions to complete the coding of encountersResponds to inquiries from Program Directors and other Operations personnel with regard to chart management, EHR systems, etc. Maintains a thorough knowledge of Chart Management processes and Practice ManagementPerforms billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissionWorks directly with payers, internal and external customers, toward effective and efficient claims resolutionCommunicates with providers/wound centers regarding incomplete documentationResponds to Customer Service inquiresMeets departmental productivity and quality assurance standards in accordance with departmental policiesMaintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standardsActively participates in creating and implementing improvementsPerforms charge corrections per departmental requestsMaintains a thorough knowledge of billing and collection requirements for payers assignedPerforms other duties as required Required Education, Experience And Credentials High School Diploma or General Education Degree (GED)Minimum of three (3) years’ medical office experience in a Physician’s office preferredCombination of experience in other settings and advanced education will be considered Required Knowledge, Skills And Abilities Excellent attention to detailAbility to work independently as well as in a team settingAbility to multi-task and follow-up on tasksMust be able to demonstrate teamwork and display excellent communication skillsMicrosoft Excel and Word experience The hourly rate for this role is 20.00 - 22.50 USD Hourly This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law. If you are a current employee, to submit a job application, you need to apply as an internal candidate in Workday via the “Jobs Hub”.