Job Title: Medical Records Technician
Exempt Status: Non-Exempt
Division: Chart Recovery
Reports to: Director, Chart Recovery
Episource, with over 3000 employees worldwide, is a leading provider of risk adjustment services and solutions for health plans. Our services help Medicare Advantage, Commercial/Exchange, and Medicaid managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. Our services include retrospective chart reviews, medical record retrieval, HEDIS/ACO quality reporting, and data analytics, allowing payers and providers to dramatically reduce costs and improve quality of care.
The Medical Records Technician is responsible for retrieving medical records (both paper and electronic forms) from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews such as Commercial, Medicaid, Medicare Risk Adjustment (MRA), Risk Adjustment Data Validation (RADV), Accountable Care Organization (ACO), and Healthcare Effectiveness Data and Information Set (HEDIS).
- Retrieves medical record information from Provider offices and facilities through pulling, breaking down, copying/ scanning, indexing, assembling, and uploading medical records into an image data management application
- Uploads all retrieved charts and applicable forms to company server daily
- Completes daily productivity and progress log
- Prepares, receives, and submits forms, documentation, and correspondences
- Communicating with medical personnel to confirm scheduled appointments
- Face to face interaction with medical personnel during onsite provider office and facility visits
- Additional duties as necessary to meet the obligations of our clients
- A valid driver’s license and insurance/liability policy in the employee’s name is mandatory in applicable cities/states when a motor vehicle is necessary for the position. Cities and states this may not apply to San Francisco, New York, Washington D.C. Management will notify such employees when applicable.
- Must have Document Imaging or Scanning experience
- Minimum 3 years of strong office/customer service administration experience required
- Some medical terminology
- Entry level understanding of healthcare administration
- Basic understanding of HIPAA and PHI
- Basic navigational knowledge of some electronic medical record applications such as Epic, Allscripts, eClinicalWorks and Nextgen
- Basic understanding of project management methodologies and key terms
- Must have excellent time management skills, be highly organized, self-motivated
- Maintain a high level of productivity and confidentiality
- Excellent customer service, problem solving skills and attention to detail
- Strong knowledge of computer-based systems such as Excel, Word, and the Internet with the ability to quickly learn new systems
- The ability to follow through timely on tasks is essential
- Possess excellent written, verbal, and interpersonal communication skills
- Team oriented and leadership skills
- Must possess initiative; tact; poise; neat personal appearance; physical condition commensurate with the requirements of the position
- Some travel required. At times travel within a 30-50-mile radius is expected
- HS Diploma/GED required, preferred AA or higher degree or equivalent job-related experience
- Registered Health Information Technician (RHIT) certification a plus
While performing the duties of this job, the employee is frequently required to stand; walk and sit. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include color vision. Requires prolonged sitting, some bending, stooping, and stretching, requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.
EEO POLICY STATEMENT:
Episource, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Episource, LLC complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.
Episource, LLC expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Episource, LLC employees to perform their expected job duties is absolutely not tolerated.