Medical Records Analyst

3 weeks ago

Uvalde, Texas, United States Uvalde Memorial Hospital Full time

Job Summary

The Revenue Cycle Chart Analyst plays a crucial role in promoting accuracy within clinical departments at Uvalde Memorial Hospital by conducting thorough analysis of patient medical records to prevent performance errors across the revenue cycle.

This position serves as a liaison between clinical and revenue cycle staff, working closely with both to ensure quality staff performance, accurate billing, and optimal revenue intake.

The successful candidate will provide training and education to achieve optimal results, measurable change, and a quantifiable, positive contribution.

This is a non-exempt position.

Essential Functions

  • Conduct concurrent or retrospective reviews of medical records to ensure accuracy in CPT and ICD-10 diagnostic codes.
  • Collaborate with clinicians and management staff to resolve clinical documentation inaccuracies and facilitate improvements and corrections when necessary.
  • Promote adherence to industry regulations by performing regular compliance reviews.
  • Cooperate with revenue cycle leaders and solicit feedback from administrators and clinical staff to brainstorm, design, and implement strategic performance and process improvement initiatives.
  • Maintain awareness of current industry trends, best practices, and benchmarks to provide feedback or education to physicians and administrative staff.
  • Identify opportunities for improvement in HIM staff performance and processes based on analyzed trends, tracked metrics, and benchmarks.
  • Contribute to the development of revenue cycle-related policies and procedures and communicate all new or revised protocols to pertinent staff members.
  • Responsible for submitting appeals for medical necessity and retro audit denials.
  • Work with all Revenue Integrity staff to conduct monthly Revenue Integrity meetings.
  • Perform other duties as assigned.

Position Requirements

  • Minimum Education: Bachelor's degree in business or healthcare administration, HIM, or a related field required.
  • At least 3-5 years of experience in medical coding, clinical documentation, and chart review.
  • Experience with EHR systems strongly preferred.
  • Required Skills:
    • Possesses working knowledge of revenue cycle workflow, information technology or EHR software systems, medical terminology, ICD-10, CPT, HCPCS codes and coding processes, billing and reimbursement processes, and regulations for various payers.
    • Possesses efficient time management skills, proven ability to multi-task, and is a self-starter.
    • Demonstrates ability to proactively analyze data and trends.
    • Exhibits exceptional organizational and problem-solving skills.
    • Demonstrates ability to work both independently and with a team.
    • Exhibits excellent writing and interpersonal communication skills.

Functional Demands

The job requires sitting, standing, walking, kneeling, bending, squatting, and reaching. Requires good finger dexterity, repetitive motions with hands and fingers. Requires ability to have good vision and hearing. Pushing and pulling equipment may be necessary. Job requires light lifting on an occasional basis. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising the job duties.

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