The Records Retrieval Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. This role also coordinates projects for senior management. This role is responsible for organizing and facilitating strategy around retrieving and medical records and audit metrics.
Develops documentation, reports and presentations for all levels within the organization including executive leadership.
Call and establish lines of communication with custodians of record based on order priority
Make regular phone calls and/or other means of contact with provider offices to ensure timely retrieval of records.
Provide quality control for all incoming records, route escalations to record retrieval supervisor.
Schedule field jobs, as needed, to ensure timely retrieval of medical records.
Lead activities around record retrieval for risk mitigation audits, government audits and client deliverables
Assist in daily call and escalation logs
Vendor record management
Collaborates with Subject Matter Experts to develop accurate documents.
Completes ad hoc data requests as assigned. Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.
Coordinates projects and analysis for management and team.
Ensures complete, accurate and timely data for reporting purposes.
Researches, analyzes, identifies, and evaluates data from assigned problems to evaluate existing and potential trends and issues.
Conduct meetings and communicate with senior level leadership and clients, as requested by supervisor.
Possesses and maintains a comprehensive understanding and knowledge of business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and research principles/methodologies.
Assists in the management and monitoring of projects by following project plans, set forth by leadership, and objectives to ensure goal attainment within defined parameters.
Communicates results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
Recommends and implements solutions to identified problems/root cause of issues.
Provides expertise and guidance to unit and corporate staff as required.
Represents and participates in group or committee discussions.
Other duties as assigned
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
Bachelor's degree in Business Administration Health Care, Information Systems, Statistics or a related field. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.
Minimum Five (5) years of experience in a related healthcare field required to provide the necessary knowledge, skills, and abilities for the role. Minimum two (2) years of medical records retrieval experience required. Minimum one (1) year experience working with Medicare advantage, Risk adjustment or Government entities required.
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
Strong communication skills are required to understand, interpret, and communicate ideas.
Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
Strong knowledge of data languages such as SAS or SQL.
Strong analytical, organizational, planning, and problem-solving skills.
Ability to effectively interface with employees at all levels.
Understand and apply statistical inference.
Other related skills and/or abilities may be required to perform this job.
Experience executing in a fast-paced environment with tight deadlines.
Administer and adhere to corporate and departmental policies, practices and procedures.
Work is performed in an office setting with no unusual hazards.
The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an \"at will\" basis. Nothing herein is intended to create a contract