Medical Records Coordinator II (Must live in Wisconsin)

Job Summary:

The Medical Records Coordinator II is responsible for all forms and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Requests of Information (ROI) deployment, pend-record resolution, medical record audits, attestation capture, and report documentation. This position is remote and there will be travel within the state of WI for records retrieval.

Essential Functions:

• Execute the request, retrieval, and pend resolution of medical records through various channels
• Utilize custom and SFTP portals to facilitate PHI data transfer
• When needed provide personal information necessary to gain access to health network systems
• Collaborate with health systems and provider offices to execute, and document their process for release of information requests
• Update operational databases, and provide context by documenting commentary
• Navigate and properly escalate obstacles to medical record retrieval
• Support and implement process improvements with external and internal partners
• Utilize the MS Office Suite including, but not limited to MS Teams, Office, Excel, Outlook, and Word to facilitate record retrieval and execute mail merges
• Verify retrieved medical records’ accuracy
• Partner across CareSource’s department matrix to address operational needs  
• Support and maintain medical record repository
• Manage provider practice and health network relations to minimize provider abrasion
• Populate chase specific reports to drive and reflect the execution of risk adjustment programs
• Support and refine implementation of risk adjustment processes across all lines of business
• Research claims data to produce information optimized for chart retrieval
• Reconcile retrieval related invoices
• Perform any other job duties as requested

Education and Experience:

• High School Diploma or equivalent required
• Minimum one (1) year healthcare experience preferred
• Minimum one (1) year medical records experience preferred

Competencies, Knowledge and Skills:

• Intermediate proficiency in the Microsoft Office Suite
• Verbal and written communication skills
• Ability to work independently and within a team environment
• Attention to detail
• Critical listening and thinking skills
• Time management skills
• Proper phone etiquette
• Data analysis
• Business analysis
• Project management
• Customer service oriented
• Brand ambassadorship
• Decision making/problem solving skills
• Takes initiative to research and resolve obstacles
• Must be able to self-direct work when given a goal/task

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• May be required to travel

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, …