Scheduler

Scheduler
San Jose, CA 95124 – Onsite

• Shift: Day 5x8-Hour (08:00 - 17:00)

Note: MUST be legally authorized to work in the United States.

SUMMARY:
The Medical Records Specialist is responsible for providing clerical and administrative support necessary to ensure delivery of clinical care and efficient clinical documentation flow and revenue cycle operations
The Medical Records Specialist will report into the Home Health Support Services Manager

JOB ACCOUNTABILITIES:
Clinical Documentation Processing

• Processes clinical documentation to support the clinical team's patient and billing information needs
• Scans and attaches documents and photos to the appropriate electronic medical record according to department guidelines and within acceptable standards of productivity
• Ensures that information in patient charts and electronic patient record is, accurate, current and complete
• Identifies faxes and documentation that should be triaged to the appropriate Clinical Managers or other leaders for immediate review
• Completes workflow in electronic medical records relating to medical records, orders, and claims processing

Revenue Cycle operations

• Monitors and tracks progress to reports on claim holds and ensures claims processing is within department guidelines
• Follows up with hospital liaisons, staff, and physicians to obtain complete and signed orders and documentation within required time frames
• Completes chart audits to ensure agency standards are met, including but not limited to the following tasks:

1. Ensures the visits and frequency match the orders in patient medical record
2. Checks that required supporting documentation is present
3. Notifies appropriate staff regarding changes in frequency and additional documentation needed
4. Ensures visits are appropriately invoiced for services, and amount of “in home visit time” rendered as documented in the patient medical record is accurate

• Completes End of Episode review for Non-Medicare clients
• Assists with processing ADR's and payor appeals

Medical Records Management and Release of Information

• Completes accurate and efficient data entry in the electronic medical record as requested by manager
• Enters confirmation that signed documents have been received
• Completes request for subpoenaed documentation and processes according to agency policy and HIPAA regulations
• Retrieve and copies medical records per agency policy when requested by Administrators or Clinical Managers
• Assists in the ""Purge List"" report and works with locations to purge charts from permanent storage; keeps accurate records of this process

Quality Management

• Protects the confidentiality of patient and agency information through effective controls and directs supervision of clinical records
• Ensures clinical record systems are maintained within state, federal and accreditation requirements

Customer Service

• Relates with tact and respect all times to internal and external customers. Actively builds positive relationships with internal and external customers
• Uses effective interpersonal and communication skills to promote customer service with internal and external customers
• Facilitates cross service line collaboration and strengthens communications and problem solving to support continuity of care

QUALIFICATIONS:
Education:

• Equivalent experience will be accepted in lieu of the required degree or diploma
• HS Diploma Or equivalent education/experience
• Other: Graduation from an accredited program of secretarial science is preferred and related coursework in business skills preferred
• Associate's: Office Management, Medical Records, Business or a related field is strongly desired

Preferred Experience as Typically Acquired in:

• At least 2 years’ experience in an office environment, preferably in a health care organizational setting
• Previous experience in medical records preferred
• Previous experience in home care preferred

Skills and Knowledge:

• A working knowledge of medical and home care terminology is strongly preferred
• Must have knowledge of general office practices and procedures including filing, record keeping, photocopying and faxing
• Must have experience with computer data entry at least 50 WPM
• Must have knowledge of general office practices and procedures including filing, record keeping, photocopying and faxing
• Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems
• Must be willing and able to learn new computer software with training provided
• Must be able to follow a defined list of tasks and follow the established procedures completing them in a timely fashion
• Must be able to flex with the increased workflow when census is higher and recognize urgency of each task
• Must have excellent verbal and written communication skills in all interactions with patients and staff, demonstrating excellent customer service

We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.

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