Health Information Technologists, Medical Registrars, Surgical Assistants, and Healthcare Practitioners SkillsPACK

11-50 employees

Health Science

Health Technologists and Technicians, All Other

Contract

In person

Company Overview

Releases upcoming

If you've received this job template as a recommendation, we're actively adding employers in your area with open positions like this. Stay tuned for updates!

Customize this section from your company profile.

Learner & Earner

Job details

Each Open Job posting will contain unique job details.

Employer

Bookmark this job template for quick access in your templates folder whenever you're setting up a new job posting.

Take note

These are Verified skills that candidates near you are sharing with our recommender.

Job details

Required skills

Specifies, refines, updates, produces and makes available a formal approach to implement information and communication technology solutions necessary to develop and operate the health information system architecture in support of the organization
Compiles patient data and performs data quality reviews to validate code assignment and compliance with reporting requirements
Summarize selected information for patient studies as requested (such as tumor registry, communicable diseases, federal and state regulatory agencies)
Applies policies and procedures to comply with changing regulations among various payment systems for healthcare services, such as Medicare, Medicaid, managed care, etc.
Retrieves and routes medical records and reports to hospital departments, health care officials, insurance companies, or other authorized persons in accordance with established procedure
Adheres to current regulations and established guidelines in code assignment (focus on assignment of principle diagnosis, principle procedure, and sequencing as well as other clinical coding guidelines)
Obtains patient consent, certifying medical records, and deciding what information can be released
Ensures that medical records are complete, including medical history, care or treatment plans, tests ordered, test results, diagnosis and medications taken
Verifies consistency between diagnosis and treatment plans, procedures and services
Validates coding accuracy using clinical information found in the health record
Supports accurate billing through coding, charge master, claims management, and bill reconciliation processes
Uses and maintains applications and processes to support other clinical classification and nomenclature as appropriate (e.g. DSM-V - Diagnostic and Statistical manual of Mental Disorders - SNOMED-CT - Systemized Nomenclature of Medicine -Clinical terms, etc.)
Utilizes appropriate medical terminology including identifying meanings of prefixes and suffixes to determine word meaning and using root words to determine meaning
Answers questions from personnel regarding billing functions, charges, insurance reimbursements, statements
Identifies and clarifies user needs (internal and external customers) and organizational policies to ensure system architecture and applications are in line with business requirements
Handles and resolves patient complaints
Resolves discrepancies between coded data and supporting documentation
Ensures medical codes reflect medical record documentation
Ensures strict confidentiality of financial and medical records
Communicates with physicians or other care providers to ensure appropriate documentation
Responds to inquiries and requests for information relating to patient records
Ensures accuracy of diagnosis/procedural groups such as DRG (Diagnosis Related Group), MSDRG (Medical Severity), APC (Ambulatory Payment Classification), etc.
Applies policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery
Stays apprised of innovative solutions for integration of new technology into existing products, applications or services
Ensures accuracy of diagnostic/procedural groupings such as DRG and APC
Coordinates reimbursements with billing office
Enters or confirms code(s) associated with medical diagnosis(es), procedures, and services.
Uses established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative and others
Participates in compliance (fraud and abuse), HIPAA (Health Insurance Portability and Accountability Act of 1996), and other organization specific training