What are the responsibilities and job description for the Medical Records Specialist (Centrum Health) position at NeueHealth?
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We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
JOB SUMMARY
The Medical Records Specialist works as a vital member of the medical records department, an integral portion of the Stars, Quality and Risk team. The HIM coordinator works closely with internal and external partners in the market of responsibility to successfully execute medical record retrieval strategies for Bright Health medical record needs, including HEDIS, Risk and others.
DUTIES & RESPONSIBILITIES
The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
JOB SUMMARY
The Medical Records Specialist works as a vital member of the medical records department, an integral portion of the Stars, Quality and Risk team. The HIM coordinator works closely with internal and external partners in the market of responsibility to successfully execute medical record retrieval strategies for Bright Health medical record needs, including HEDIS, Risk and others.
DUTIES & RESPONSIBILITIES
- Facilitate medical record retrieval efforts from Centrum Health Care Partners to support HEDIS, RISK and other HIM related projects.
- Work collaboratively with the provider relations and in-market clinical team to cultivate positive relationships with Care Partners and providers to gain access to EMR systems and collect medical records.
- Coordinate medical record retrieval requests and invoicing process with vendor partners.
- Maintain internal medical records repository to ensure accurate and timely record uploads, compliance with processes to protect PHI, and effective track of records and records requests.
- Track medical record request outreach and success, documenting accordingly.
- Subject Matter Expert in all aspects of health information management, including HIPAA compliance for medical records.
- Maintain and adhere to applicable policies and procedures.
- Bachelor's degree preferred, not required. Preferably in health information management or alternate health care field.
- Two (2) or more years of experience in health care, preferably in a managed care organization required.
- Prefer advanced certification in health information management, such as RHIA, RHIT, etc.
- Two (2) or more years of medical record experience, ideally in a managed care organization, including experience with one or more major electronic medical records systems, required.
- Bilingual in English and Spanish preferred.
- Requires exceptional customer service skills (in person and telephonic).
- Requires proficiency in Microsoft products, Excel, Access, Word, and PowerPoint.
- Requires advanced understanding of federal and state specific privacy laws.
The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
