Medical Records Specialist Home Health

Job Summary

Tracks, manages, and maintains physician orders and related medical documentation to ensure timely completion, compliance with regulatory and payer requirements, and uninterrupted billing and reimbursement for the Agency's home health patients.

Key Responsibilities

• Tracks all physician orders including new, revised, and verbal orders from initiation through signed return.
• Maintains an accurate and up to date orders tracking log to monitor outstanding, pending, and completed orders.
• Follows up with physician offices to obtain timely signatures in accordance with regulatory, accreditation, and payer requirements.
• Reviews orders for completeness, accuracy, and proper authentication prior to indexing in the electronic medical record.
• Safeguards orders to ensure they are appropriately signed, dated, and filed to support billing, audits, and reimbursement.
• Accurately indexes and routes finalized orders within the electronic medical record per Agency procedures.
• Identifies missing or incomplete documentation that may result in billing holds and communicates issues to appropriate clinical or revenue cycle personnel.
• Collaborates with clinical, billing, and authorization teams to resolve documentation related delays impacting billing and month end close.
• Maintains oversight of outstanding orders and prioritizes follow up based on billing and compliance risk.
• Provides reports and updates to leadership regarding outstanding orders, turnaround times, and trends.
• Assists with audits, ADRs, and payer documentation requests by retrieving complete and compliant records.

Qualifications

• High School diploma or equivalent.
• Minimum two years' experience in medical records, revenue cycle, or clinical documentation support within a home health or healthcare setting preferred.
• Working knowledge of electronic medical record systems.

Knowledge, Skills, Abilities

• Knowledge of medical terminology and physician order requirements.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Ability to independently solve problems and communicate effectively with clinical staff and physician offices.

Additional Qualifications

• Ability to sit for extended periods of time.
• Regular attendance is a requirement of this position.
• Must be able to read, write, and speak the English language.

Family Makes Us Stronger

United in making a difference. We are eager to connect with you! Apply Now to get started at PruittHealth!

EEO Statement

As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.