Your opportunity is right here. At Madelia Health, we’re excited to have you join our growing family. Our top priority is a positive work environment where engaged employees share decision making and every co-worker is a key to our success. Whether you’re just starting out or have loads of experience, we’re looking for you. Madelia Health is looking to add a Full Time Health Information Specialist to our team! Position Summary: The Health Information Specialist is responsible for oversight of all Medical Records and is the HIPAA Privacy Officer for Madelia Health. Schedule: This is a Full Time position Monday – Friday 8:00am-5:00pm, totaling 80 hours bi-weekly. Qualifications: Education : Bachelor’s degree preferred Experience : Healthcare revenue cycle management functions Certifications: Preferred: Medical Records, AAPC, AHIMA or NAMMS General Tasks & Responsibilities: Charge master committee member ACO Steering Committee member Compliance Committee Member Other duties as assigned Specific Tasks & Responsibilities: Oversee HIM Generalist HIPAA Privacy Officer Quality chart abstraction and regulatory data submission Retention of medical records including legacy systems Assist with provider documentation optimization Leadership Skills Problem solver Clear communicator Point of contact for R1 (documentation issues, missing charges, missing orders, etc.) ROI back-up Charge review Patient deceased Oracle/Cerner service records Technical Responsibilities: Plays a role in month end closing activities as well as builds relationships and problem solves with key clinical stakeholders. Develop, implement, and maintain policies and procedures which clearly specifies workflow, roles and responsibilities required to carry out the goals and targets of HIM. Provides education to Providers and caregivers regarding coding changes, enhancements, etc., that affects care/documentation and billing. Audit review of medical records back-up. Chart abstraction for all required data purposes. Establish and maintain a collaborative work environment among the Revenue Cycle departments to grow the overall team and streamline processes. Ensure all staff receive adequate training and monitor and coach staff as needed. Review various reports required to monitor activity and make sure requirements are being met. Assure billing compliance rules and regulations are followed and any identified issues are investigated and researched and followed up as needed. Summarize denial management findings to share with ancillary departments providing education and follow-up to minimize risks with non-payment. Coordinate charge capture with the ancillary departments by assisting CFO, or designee, in updating and maintaining the charge master. Oversee patient responsibility statement billing process. Coordinate file transfers to and from collection agency for timely follow-up. Work with CFO, or designee, to define daily revenue expectations, discuss opportunities, and resolve challenges. Use policies, guidelines, manuals, Internet, and any other available resources to perform job duties. Quality review meets or exceeds established standards. The goal of this position is to produce work that reflects accuracy, confidentiality, efficiency and thoroughness. Responsible for informing administration of poor documentation, discrepancies in documentation or services rendered, and must cooperate with personnel in the facilitation of information and expediting charts Responsible for reading and comprehending all coding changes Must attend monthly coding and departmental meetings Utilizing coding policies and procedures in evaluating the diagnostic services information within the medical record and accurate assignment for reimbursement of services. Verifying/abstracting clinical information into the organization’s health database Assists with medical necessity determinations for Medicare and Medicaid testing utilizing the appropriate software. Able to distinguish cases which require additional input from physicians and route to them professional, concise notes for clarification. Responsible for informing, discussing and educating providers, nurses, and billing staff about coding guidelines regarding missing documentation and other forms of communication Quality review meets or exceeds established standards. Use manuals, Internet, and any other available resources to perform job duties. Provide high quality customer service to all customers (co-workers, departments, patients, and insurance companies). Field all complaints through proper protocol. Other duties as assigned. Continuous Quality Improvement Identifies opportunities to address improvement activities. Works with the MH team to design and implement solutions. Seeks self-development activities to improve knowledge and skills pertinent to MH goals. Compliance Submitting accurate claims Timely and accurate external reporting HIPAA privacy and security ABN/waiver process Benefits Include: Medical Insurance Dental Insurance Vision Insurance Paid Time Off (PTO) Earned Sick & Safe Time (ESST) 403(b) 403(b) Matching Basic Life Insurance/AD&D Short Term Disability Long Term Disability Flexible Spending Accounts Health Savings Accounts Location: Madelia, MN About Madelia Health: Madelia Health is an independent, nonprofit facility staffed by a team of medical professionals that are committed to providing health care of the highest standards to patients in Madelia, Lake Crystal, Truman, St. James and surrounding areas. As a 25-bed acute care hospital, we offer all of the primary health services: Laboratory, Radiology, X-ray, CT, 3D Mammograms, Physical Therapy, Emergency Room/Urgent Care, Retail Pharmacy, Ambulance Services and Surgical Care. Our family medical clinics also provides care for patients in all the seasons of their life. Madelia Health is an equal opportunity employer committed to a diverse and inclusive workforce.
Salary:
Employment Type: Full-time
Qualifications
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