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Job Summary
The Chart Procurement Analyst coordinates the retrieval of medical records for initiatives related to risk adjustment, documentation and coding accuracy and quality measures. The incumbent is responsible for collecting, organizing, and analyzing medical records data. This includes using provider information to create reports about how to streamline the collection and internal sharing of patient records. This position is a liaison between healthcare organizations, copy service vendors, internal departments and the risk adjustment team. This position will work closely with provider network, collaborative health integration, primary care, and quality departments to ensure program efficiencies and streamlined provider communication, collaboration and education as applicable.
Requirements
EDUCATION
- Bachelor's degree Business or Healthcare management related field. In lieu of degree, five years’ health related non-clerical experience with an insurance, managed care or healthcare organization will be considered.
EXPERIENCE
- Minimum three (3) years' analysis, research and/or medical coding experience.
- Minimum two (2) years' medical record review experience.
- Possess knowledge of the EMR (Electronic Medical Records) systems or electronic data sources.
- Knowledge of HL7, FHIR, etc. preferred.
- Knowledge of Risk and Quality concepts, related to Medicare Advantage and Affordable Care Act populations preferred.
- Knowledge of Visio or flowcharting software preferred.
ESSENTIAL SKILLS & ABILITIES
- Organizational Planning
- Interpersonal Communication
- Microsoft Excel
- Reasoning
- Analyze Information
- Active Listening
- Motivated self-starter
- Electronic Medical Record (EMR) software
- Medical Record Reviews
- Proficiency working with MS Office Suite, such as Word, Excel, and PowerPoint.
- Proficiency with MS Access, MS Project, and SharePoint software preferred.
LOCATION
Work from home within Arkansas Work Schedule: M-F
Travel: Some local travel may be necessary to go to provider offices to retrieve records.
Skills
• Active Listening
• Analyze Information
• Computer Work
• Critical Thinking
• Customer Service
• Decision Making
• Evaluating Information
• External Collaboration
• Medical Record Reviews
• Monitoring and Evaluation (M&E)
• Oral Communications
• Organizational Planning
• Problem Solving
• Reading Comprehension
• Written Communication
Responsibilities
• Assists providers with the process of sending medical records
• Assists with risk adjustment business analytics and/or medical coding, which requires the attainment of specialized certifications, training and education
• Collaborates with internal departments, medical offices, and copy service vendors
• Develops and maintains tools to assist with retrieval efforts and researches solutions for retrieval road blocks
• Identifies process improvement opportunities
• Other duties as assigned
• Retrieves, analyzes, coordinates, monitors and conducts reporting of medical records to ensure success of chart retrieval aspects
Certifications
Hiring Range
Security Requirements
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
Segregation of Duties
Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.
Employment Type
Regular
ADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.
