Performs quality monitoring of patient medical records; ensure integrity of the patient medical record; one patient per MRN, complete and consistent encounter documentation
Evaluates medical records for missing documentation, authentication, inaccurate or incomplete information and assigns documentation deficiencies to the appropriate physician
Fluent in all policies and procedures related to Chart Processing and Deficiencies
Physician Suspension
Assists physicians with completion of incomplete records; provides training for physicians for the electronic completion of incomplete records
Responsible for timely, accurate & complete notifications to physicians of deficiencies & delinquencies
Contact physicians timely and in the modes expected to provide every opportunity to assist with completion of medical record deficiencies to avoid Suspension
Effect and Remove Suspension of physician privileges for delinquent medical records in accordance with policies and procedures
Fluent in all policies and procedures related to Chart Processing, Physician Notifications, Deficiencies and Delinquencies and Suspension
Birth & Death Certificates
Responsible for preparing a Certificate of Live Birth for each birth that occurs at the Client including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the birth
Responsible for preparing a Certificate of Death for each death that occurs including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the death
Follows security procedures to restrict access to the blank and completed certificates to authorized personnel only
Release of Information
Assist Requestors with proper submission of ROI Requests (via phone, walk-in, portal, etc.)
Receive & log requests accurately and timely, in accordance with policy and procedure (mail, fax, email, portal, etc.)
Validate Requests are Compliant prior to processing / Notify Requestors appropriately and timely when additional information is required
Coordinate on-site record reviews; assists requestors with access to and release of information
Receive & Process Patient Amendment and Accounting of Disclosure Requests
Fluent in all organization and Department policies and procedures related to ROI
Medical Record Quantitative and/or Qualitative Reviews
Perform regular and/or adhoc medical record reviews at the direction of leadership
Submission of State Required Reports / Vital Statistics
Compile & submit State Required Reports at the direction of leadership
Compile & submit Vital Statistics at the direction of leadership
Responsibilities to Client
Ensure excellent Customer Service in all interactions including but not limited to Written and Verbal communications in person, on the phone, over email and in any meetings
Follow all applicable policies and procedures related to being onsite or telecommuting
Meet or Exceed performance expectations of the Client
Anticipate customer needs and initiates action to meet and/or exceed those needs
Identify and recommend ways to improve Client satisfaction
What You Will Need
High School Diploma or GED
0-2+ year's experience working in an office, business, operations, customer service or healthcare field.
What Would Be Nice To Have
Understand and apply HIPAA regulations
Use office equipment and has basic computer skills and knowledge
Understand and work when given oral and written instructions
Work with minimum supervision after being given instruction
#LI-DNI
The annual salary range for this position is $38,000.00-$63,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
