Medical Records Specialist

Found in: Lensa US P 2 C2 - 2 weeks ago

Nashville, United States Integrated Oncology Network, LLC Full time

Partnering With Physicians To Provide Best In Class Patient CareFounded in 2002, Integrated Oncology Network is committed to helping our physicians deliver the right care, at the right time and in the right setting. We strongly believe that preserving the independent practice of medicine where patients are cared for closer to home and surrounded by our dedicated clinicians yields better outcomes. By creating a care continuum between our clinicians, patients and their support networks we deliver an unparalleled approach to the patient's care journey.Job Purpose:Medical records specialists organize and maintain health information both in paper files and in electronic systems. They check data for accuracy, record information and keep file folders and electronic databases up-to-date. Some of the data they manage includes patient information, medical histories, physician exams, test results, treatments and services provided. In addition to their clerical duties, records specialists often consult with the Coding Team to make sure information is accurate. They must also follow best practices for security and patient confidentiality.Essential Functions:Appropriately and accurately pulls records for patient care, quality review, and audits in a timely manner.Observe confidentiality and safeguards all patient related information.Responsible for coordinating the release of medical information to insurance companies, lawyers, state, and federal agencies.Promptly responds to phone calls/faxes from insurance companies, attorneys and auditors, requesting medical records.Determine records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request.Ensure that all requests for records are stamped with date received and logged in the correspondence log bookEnsure the proper forms have been signed for the release of information, prior to sending any documentation.Submit medical records via fax, mail or online portals.Notify management of any audits; such as but not limited to RAC/UPIC.Adhere to all documentation requirements, policies, and standards in addition to all HIPAA guidelines and policies.Maintain regulatory requirements, including all state, federal and local regulations.Comply with all organizational policies and standards regarding ethical business practicesCross trained to provide department coverage in payment posting/follow up as needed.Qualifications and Education RequirementsHigh school diploma or equivalent.Must be familiar with medical documentation as to determine the appropriate information to be sent.Knowledge of office administration procedures with the ability to operate most standard office equipment.Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.Ability to maintain confidentiality of all medical, financial, and legal information.Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.Must be able to work as part of a team.Experience with Microsoft Office products, Excel, Word, AccessPreferred SkillsKnowledge of medical terminologyFamiliar with Chemotherapy and Radiation Billing

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