Medical Records Specialist
WHO WE ARE
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
JOB SUMMARY
The Medical Records Specialist works as a vital member of the medical records department and works closely with internal and external partners to successfully execute medical record retrieval strategies for Centrum Health medical record needs, including HEDIS, Risk and others.
DUTIES & RESPONSIBILITIES
- Facilitate medical record retrieval efforts from Centrum Health 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.
- Develop, maintain, and adhere to applicable policies and procedures.
EDUCATION AND PROFESSIONAL EXPERIENCE
- 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.
PROFESSIONAL COMPETENCIES
- 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.
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