Medical Records Operations Support

Medical Records Operations Support

Job Description Summary:

The Medical Records Operations Support Specialist will support administrative, data management and research needs of various Revenue cycle teams, by coordinating medical records (MR) collection and client outreach, by supporting projects as identified, and by cultivating collaborative and productive relationships within the organization relating to Revenue Cycle Management.

Job Responsibilities:

Successfully obtain necessary medical documentation by collaborating with and serving as a primary liaison between in-house billing operations, other customer experience teams, medical records case managers and accounts Have a thorough understanding and knowledge of applicable CMS, state, and insurer medical policy and coverage guidelines (in particular LCD & NCD Coverage Criteria) Ability to navigate and extract data from multiple versions of electronic medical records, including EPIC Lead and coordinate all account outreach efforts, including tracking special contact requests, reviewing incoming medical records and responding to any incoming account phone calls Assist with regular case upload and database maintenance A basic knowledge and understanding of oncology and organ health terminology (including chemotherapy treatments and well as immunotherapy treatments) Develop and cultivate ongoing working relationships with other departments impacting revenue cycle performance Participate in weekly meetings, daily discussions, case reviews and continuing education to review key metrics, workflows, trends, and performance improvement opportunities Prioritize team performance initiatives and productivity goals are achieved within a timely manner while maintaining the highest quality of work standards for Q/A Follow department procedures and ensure all activities are documented and conducted within compliance standards with applicable business process requirements and regulatory requirements This role requires access to Patient Health Information (PHI) both in paper and electronic form. Therefore, employees must complete training relating to HIPAA & PHI privacy, General Policies and Procedure Compliance training and security training as a requirement of the job