Health Information Specialist

• Completes analysis/reanalysis of all records accurately and timely
• Completes accounts from EMR 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

Medical Records Specialist at Ensemble managing health information documentation

Health Information Management Specialist

Medical Records Specialist at Ensemble managing health information documentation and ensuring accurate record keeping for healthcare systems and facilities. Part-time position with flexible hours at Carilion - Roanoke Memorial Hospital.

• Reviewing clinical documentation as appropriate to extract data and accurately assign proper facility level CPT based on set algorithm and coding metrics
• Under the supervision of the HIM Coding Manager, perform duties assigned that include excellent communication, accurate leveling and data entry
• Accurately assign appropriate facility levels and procedure codes for all ED/OBS service within accordance of the CPT and CMS guidelines
• Communicate effectively with providers/office manager/auditors/billing department to ensure the highest level of service is being captured
• Review providers dictation as needed to ensure all documentation is accurate

Charge/Code Capture Specialist managing clinical data for Augusta Health

Charge / Code Capture Specialist – Health Information Management

Charge/Code Capture Specialist for Augusta Health reviewing clinical documentation and assigning CPT codes. Ensuring accuracy in data entry and contributing to patient-centered care in a nonprofit health system.

Health Information Specialist jobs in Virginia

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Health Information Management Specialist

Charge / Code Capture Specialist – Health Information Management