Medical Record Coordinator

Position Summary

The Medical Record Coordinator provides administrative support to all clinical initiatives delivered by the Health and Quality division. This role is responsible for the overall maintenance of medical records: sending out request for medical records, confirming incoming medical records are complete and compliant, following up on outstanding requests, ensuring records are labeled correctly and routed to the proper department, etc. This role will also provide support to the health coordinators and health nurses on initiatives related to medical record requests, follow-ups, and responses.

Essential Duties and Responsibilities
• Intake and process all medical records received via fax for the Case Management and Quality Departments
• Review received medical records for compliance with HEDIS measures
• Research systems, such as CRISP, for documentation of proof of services
• Review various Electronic Health Records (EHRs) and download relevant medical records
• Fax/mail medical record requests to provider practices
• Outreach to provider offices and hospitals to follow-up on medical record requests
• Data enter member demographic information, date of services, and proof of services into a database
• Deliver administrative support to various department(s).
• Perform any other job-related instructions, as requested.

Education, Experience and Qualifications
• Bachelor’s degree preferred.
• At least two years of supporting a clinical function within a health plan or healthcare setting required
• Medical record handling and electronic health record (EHR) experience preferred
• HEDIS experience preferred
• A working knowledge of Medicare program requirements preferred

Knowledge, Skills and Abilities
• Knowledge of medical terminology
• Excellent communication skills, including writing, critical-thinking, and the ability to work with others in a collaborative fashion.
• Data entry skills and data entry auditing/review
• Working knowledge of health insurance and activities supporting members.

Physical Requirements
• Please see Exhibit A

Computer Skills
• Outstanding computer skills (demonstrated use of Microsoft products, including Outlook, Excel, Word, and latest web-browsers) and overall computer use literacy.

Affirmative Action/EEO statement

The Company provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Other duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Exhibit A

Checklist: Job Analysis/Job Description Physical Activities

Physical Activities

Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like.
☒ Never ☐ Occasionally ☐ Constantly

Moving self in different positions to accomplish tasks in various environments including tight and confined spaces.
☒ Never ☐ Occasionally ☐ Constantly

Remaining in a stationary position, often standing or sitting for prolonged periods.☐Never ☐Occasionally ☒ Constantly

Moving about to accomplish tasks or moving from one worksite to another.☒ Never ☐ Occasionally ☐ Constantly

Adjusting or moving objects up to 15 pounds in all directions.☐ Never ☒ Occasionally ☐ Constantly

Communicating with others to exchange information.☐ Never ☐ Occasionally ☒ Constantly

Repeating motions that may include the wrists, hands and/or fingers.☐ Never ☐ Occasionally ☒ Constantly

Operating machinery and/or power tools.☒ Never ☐ Occasionally ☐ Constantly

Operating motor vehicles or heavy equipment.☒ Never ☐ Occasionally ☐ Constantly

Assessing the accuracy, neatness and thoroughness of the work assigned.☐ Never ☐ Occasionally ☒ Constantly

Environmental Conditions

Low temperatures.☒ Never ☐ Occasionally ☐ Constantly

High temperatures.☒ Never ☐ Occasionally ☐ Constantly

Outdoor elements such as precipitation and wind.☒ Never ☐ Occasionally ☐ Constantly

Noisy environments.☐ Never ☒ Occasionally ☐ Constantly

Hazardous conditions.☒ Never ☐ Occasionally ☐ Constantly

Poor ventilation.
☒ Never ☐ Occasionally ☐ Constantly

Small and/or enclosed spaces.☒ Never ☐ Occasionally ☐ Constantly

No adverse environmental conditions expected.
☒ Never ☐ Occasionally ☐ Constantly

Physical Demands

Sedentary work that primarily involves sitting/standing.
☐ Never ☐ Occasionally ☒ Constantly

Light work that includes moving objects up to 20 pounds.
☐ Never ☒ Occasionally ☐ Constantly

Medium work that includes moving objects up to 50 pounds.
☒ Never ☐ Occasionally ☐ Constantly

Heavy work that includes moving objects up to 100 pounds or more.
☒ Never ☐ Occasionally ☐ Constantly

Job Type: Full-time

Pay: $45,000.00 - $60,000.00 per year

Benefits:
• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Work Location: Remote

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