Medical Records Manager manages medical record-keeping operations and healthcare information management to ensure secure, accurate, and reliable patient information management that complies with data and privacy regulations. Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements. Being a Medical Records Manager implements digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage. Provides training for medical records staff and information resources to end-users. Additionally, Medical Records Manager coordinates with clinical and technical professionals to maintain robust records management systems and manage data for analysis and reporting. May require a bachelor's degree. May require Registered Health Information Administrator (RHIA) certification. Typically reports to a director. The Medical Records Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Records Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Job Overview:
We are seeking a meticulous Medical Records Quality Assurance Manager to join our team. The ideal candidate will ensure that our systems and processes meet the highest standards of quality and efficiency. This position is not a remote opportunity.
Duties and Responsibilities:
Duties and Responsibilities:
· Run insurance eligibility every Monday, 1st, and 15th of the month for approx. 900 clients. Report on spreadsheet, update EMR, and notify staff of changes.
· Run and follow-up on Clinic Schedule Discrepancy report within a 3-week period
o Check for current auth
o Check for current tx plan
o Check for consistency of services
· Track and submit monthly ISRs to referral sources of DFCS, DJJ, Probation and other requested referral sources
· Track current and expiring Verified Diagnosis
· Assign Verification of Diagnosis to staff, monitor, and process once completed
· Enter authorizations into EMR for non-PA’s
· Process routine non-PAs as well as upon request
· POC for Biller when inquiring about diagnosis
· Serve as POC for Furniture Bank requests
· Serve as internal auditor for contact logs and service frequency issues.
o Ensure contacts logs are compliant with accrediting bodies and funding sources
o Communicate medical record discrepancies to responsible staff and/or contractors
§ Request missing document with identified deadlines
· Serve as Point of Contact for CMO audits/pre-pay reviews
o Gather all required documents for time-frame requested
o Review progress notes for accuracy of time, service code and content
o Communicate discrepancies with Program Clinical Director
o Organize audit-ready documents in preparation for delivery
· Track discharges and complete discharge letters to send to clients.
· Performs at established quantitative and qualitative work standards to meet company goals and objectives.
· Assist with paper file transfers to EMR as needed and during special projects.
· Complete medical records requests as needed/as back up.
· Other duties as required
Requirements:
- Minimum Job Requirements:
Bachelor’s Degree
If you are passionate about ensuring the quality of healthcare systems and processes, we invite you to apply for this rewarding opportunity.
Job Type: Full-time
Pay: $50,000.00 - $55,000.00 per year
Benefits:
Schedule:
Experience:
Ability to Commute:
Work Location: In person