Medical Records & Support Coordinator

About the role

The Medical Records & Support Coordinator is responsible for functions as a support member of the ACI team in compiling member medical records, and submitting the requests via secure fax and encrypted file with password protected following HIPAA guidelines and Health Texas policy and procedure for medical record retrieval and release of member PHI to business partner entities or others.

Responsibilities

• Review patient records for timeliness, completeness, accuracy, and complete requests for the release of medical records.
• Gather, process, maintain medical records, and manage medical record requests with ethical, legal and regulatory requirement of Health Texas.
• Plan, organize, prepare, and submit medical record requests via secure fax or encrypted file for Subpoena, pharmaceutical issues, Texas Medical Board, and health plan audits.
• Ensure work/assignment areas are clean, records and files are properly stored in accordance with established policies and procedures before leaving such areas on break or end of work day etc.
• Maintain confidentiality of Protected Health Information (PHI) at all times.
• Maintain continuity of day-to day work operations by documenting and communicating actions, and reporting any irregularities.
• Review, analyze and evaluate medical records for completeness, accuracy and compliance with State and Federal regulations.
• Stay abreast of all health information management policy changes that occur Medicare, private insurance and other payers.
• Provide assistance with all special projects such as reviewing and compiling selected member medical records for HEDIS and CMS Star audits, risk adjustment data validation (RADV) audits conducted by Health Plan, CMS or within Health Texas Department.
• Generate and monitor internal and external data reporting from the audits and provide the reports to Director of ACI.
• Provide excellent customer service with great interpersonal skills to all internal and external customers.
• Assist HTMG associates (Quality/ACI department) to call patients for scheduling office visits as needed.
• Perform other administrative duties assigned by Director of HCC coding/ACI.

Requirements

• 2 years healthcare experience with coding, claims, clinical document or other clinical healthcare experience.
• 1 year experience with an Electronic Health Record, e-faxing system and electronic mail.
• Basic knowledge of ICD-10 coding guidelines and medical terminology is a plus.
• Advanced PC skills to include the following software programs: Word, Excel, Access and PowerPoint.
• Familiarity with basic navigational knowledge of electronic medical applications such as eClinicalWorks, Epic, Allscript.
• Ability to maintain a high level of productivity, confidentiality and comply with all organizational policies regarding ethical business practices.
• Ability to follow through timely on assigned tasks.
• Strong experiences and background in medical records retrieval.
• Ability to work with integrity, cooperation and dependability.

Qualifications

• High School Diploma or Certificate in Health Information Technology through the American Health Information Management Association (AHIMA) or Community College.
• Associate Degree or Register Health Information Technician (RHIT) preferred.

Skills

• Strong attention to detail to ensure patient records are complete and accurate.
• Strong knowledge of medical records regulations and release of health information.
• Compliance with HIPAA regulations and maintenance of confidentiality of patient records information.
• Ability to work independently at a fast-pace environment, self-directed and highly motivated.
• Demonstrated organizational and time management skill sets, quality and precision.

Work Environment

Position duties require prolonged sitting, some bending, stooping and stretching. Involves frequent contact with staff, providers, and patients. Requires working in a multi-tasking environment and under stressful conditions where constructive criticism from others is encouraged.

Normal office environment. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.

Schedule

Monday – Friday, 8:00 a.m. – 5:00 p.m., and as needed to complete projects. Travel to medical offices may be necessary for the purpose of providing benefit education.