Medical Records Analyst

4 weeks ago


Los Angeles, California, United States Clinica Romero Full time
Job Summary

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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