Completes analysis/reanalysis of all records accurately and timely
Completes accounts from Meditech System Waiting for Documentation and Missing Document work queues when missing documentation is received.
Follow-up with ancillary/nursing departments for missing documentation as outlined.
Follow-up with providers regarding missing documentation/dictation preventing the account from being coded.
Completes unbilled spreadsheet with updates regarding the status of missing documentation and sends to management.
Reviews medical record documentation in electronic medical records and, creates appropriate charting deficiencies in the deficiency management system, and assigns those deficiencies to the appropriate provider(s).
Actively manages various analysis-specific work queues, electronic and manual, to ensure timely analysis and chart completion.
Adheres to established company standards/policies and system workflow guidelines to add and re-assign accounts to appropriate work queues for processing.
Identifies systematic problems and routes to the Manager for facility resolution.
Promptly reports issues and trends not complying with facility or corporate policies/standards.
Documents all workflows, including any alterations, modifications, and changes that will occur based on the processes that will be implemented or enhanced.
Other duties as assigned
Requirements
Knowledge of CMS, and Joint Commission regulations preferred
EMR experience preferred
Healthcare Revenue Cycle experience preferred (Acute care facility HIM experience)
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
Certifications: CRCR Required within 9 months of hire (company paid)