HEDIS Medical Record Retrieval Specialist I (Seasonal) (Finance)

Job Description:

Summary:

The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities.

This is a seasonal role in which employees work the months of October through January. The daily schedule is flexible based upon supervisor approval though employees will be expected to work 30 - 40 hours per week.

Essential Accountabilities:

Level I

• Accurately and efficiently retrieves medical records, via remote EMR access, fax and/or on-site at the provider/facility locations.

• Travels from home to provider offices or facilities to retrieve the medical records, if required.

• Face-to-face interaction with medical personnel during onsite provider office and facility visit.

• Communication with medical personnel to schedule or confirm appointments, etc.

• Completes productivity and progress reports on a daily, weekly and/or monthly basis.

• Meets or exceeds productivity and accuracy targets as established by management.

• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs.

• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

• Regular and reliable attendance is expected and required.

• Performs other functions as assigned by management.

Level II (in addition to Level I Accountabilities)

• Serves as a liaison between the Plan and designated representatives of the provider office and/or hospitals and vendor(s) in aspects of prospective and/or retrospective chart retrieval for members. This can include but is not limited to requesting and retrieving medical records from providers to the plan for review and for Risk Adjustment Validation Audits (RADV).

• Acts as a preceptor to new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Facilitates ongoing training for optimal staff functioning.

• Proposes and develops new desk level procedures (DLP's) and policies and procedures (P&P's) as needed to support new and existing department initiatives, audits, and projects. Reviews and updates existing DLP's, workflows, and P&P's to ensure accuracy. Establishes and maintains a repository for storing department documentation which may include corporate share drives, wiki, company intranet, and/or corporate website. Collaborates with other operating teams as needed in order to support these activities.

• Will occasionally lead work groups and manage project deliverables for department projects, policy and procedure reviews, revenue generating initiatives, and audits.

• Provides written or oral recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.

• May be assigned additional over read projects/higher work volume than Level I.

Minimum Qualifications:

NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.

All Levels

• High School diploma or equivalent with a minimum of two years of working experience required.

• Strong proficiency in Microsoft Office applications: Word, Excel, Access, and PowerPoint

• Successfully completes required training, testing and quality assessments.

• Electronic Medical Record/Electronic Health Record experience is required.

• Understanding of acceptable Risk Adjustable documentation.

• Recognizes and properly handles confidential health information.

• Ability to prioritize multiple high-priority tasks.

• Must have excellent time management skills, be highly organized, self-motivated.

• Ability to multi-task, troubleshoot problems and work within time constraints independently.

Level II (in addition to Level I Qualifications)

• Two years of medical record retrieval experience required.

• Advanced technical skills for use of MS Office (Excel, Word, Access, and PowerPoint).

• Demonstrated ability to utilize a variety of electronic medical records systems.

• Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision. Strong time management skills. Must possess high degree of accuracy, efficiency, and dependability.

• Demonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization both verbally and written.

• Demonstrated organizational and problem-solving ability.

• Demonstrated experience in project completion, educational program development and/or group presentation.

Physical Requirements:

• Prolonged sitting and standing.

• Must be able to travel independently between the health plan regions as needed.

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One Mission. One Vision. One I.D.E.A. One you.

Together we can create a better I.D.E.A. for our communities.

At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know inclusion of all people helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating all of our employees' experiences, skills, and perspectives, we take action toward greater health equity.

We aspire for our employees' interests and values to reflect the communities we live in and serve, and strongly encourage all qualified individuals to apply.

OUR COMPANY CULTURE:

Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing an inclusive workforce, innovative thinking, employee development, and by offering competitive compensation and benefits.

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Level I: Grade N4: Minimum $19.22 - Maximum $30.76

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.