Medical Records Analyst
4 weeks ago
Clinica Romero seeks a skilled Medical Records Analyst to join our Revenue Cycle/Billing team. As a key member of our team, you will be responsible for reviewing medical records, analyzing data, and ensuring accurate and optimal reimbursement from payers.
Key Responsibilities:
- Analyze medical records to ensure accurate and complete coding, using ICD-9 and ICD-10 and CPT coding conventions.
- Enter and retrieve patient medical data from EPIC-Ochin System, updating entries as necessary, and auditing records for accuracy and completeness.
- Consult with physicians and other personnel on coding practices and conventions, providing detailed coding information and gathering additional documentation.
- Research and initiate activity to resolve charges and coding issues, reviewing difficult situations to determine the most appropriate codes.
- Recognize potential for additional coding revenue and initiate changes in the EPIC-Ochin System.
- Enter charges as recorded by back office or clinicians in a timely manner, posting payments to patient accounts within a timely period.
- Review and track payments of all submitted billing, reconciling visits and payer records on a weekly basis.
- Assist patients on program eligibility and billing information.
- Perform special projects and other duties as requested.
Requirements:
- High School graduate or equivalent.
- Associate Degree or two years of HIT college level coursework preferred.
- Knowledge of Medical Terminology and Anatomy & Physiology required.
- Knowledge of Title 22 medical record regulations preferred.
- Knowledge of Confidentiality and rules regarding HIPAA and State and Federal governing release of medical information required.
- Minimum two (2) years of continuous, relevant ICD/CPT coding experience in an acute care facility within the last five (5) years is required.
- System oriented experience in use of computerized medical records abstracting, encoding, and database systems.
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