Health Information Coordinator, Greater Cleveland

Health Information Coordinator

It's fun to work in a company where people truly BELIEVE in what they're doing!

Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job.

Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, inclusion, integrity, financial stewardship, leadership and care.

The Health Information Coordinator supports the clinical home health and/or hospice teams to utilize a collaborative process to review, plan, monitor, and evaluate the options and services required to meet home health and/or hospice patients' health needs while coordinating available resources to promote quality and cost-effective outcomes through ongoing audits of medical records and clinical documentation to continually improve data quality in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

Essential Activities and Tasks

Operations Management and Administration - 55%

• Collaborates with discharge planners and marketing team to manage processes, protocols, and timeliness of all referrals to meet the comprehensive needs of the patients.
• Interacts with patients, physician offices and staff during phone calls, triages priorities, writes orders, and schedules SOC/ROC visits, as needed. Identifies and interprets clinical referral documents to assist with site coordination of clinical care priorities, i.e. same day open cases, IV infusion services, wound care, etc. to assure timely and admissions.
• Monitors for home health, hospice and private duty referrals and enters referrals into HCHB utilizing an electronic medical records platform. Attaches all referral documents in HCHB and processes referral workflow.
• Monitors and follows up continuously on all pending referrals, missing documents, F2F, diagnosis, or orders.
• Contacts patients to obtain necessary personal information to complete the referral i.e. social security number, insurance information, etc.
• Completes all referrals by accessing the hospital electronic health record system to obtain relevant information and documentation, i.e. insurances, history and physical, face to face, etc.
• Enters data to initiate opening new patient files in the EMR and labels and attaches all clinical documents into EMR for use by clinicians, office staff, authorizations, etc.
• Reviews payor eligibility and authorization notes in HCHB prior to scheduling SOC.
• Works with schedulers and team to coordinate all needs of staff and patients and assists with scheduling for timely initiation of care.
• Assists with contacting new referrals and schedules new patients with priority that are high risk, bundle patients or same day admissions. Notifies therapy when necessary.
• Assists the marketing team in assuring a provider available to follow for home health orders.

Quality and Compliance Management - 45%

• Reviews referral information to identify medical diagnoses and primary ICD-10 codes that align with rationale for skilled care needs.
• Identifies the appropriate physician, physician assistant or nurse practitioner who will care for the patient and accurately enters into HCHB in compliance with payor requirements and HIPAA standards.
• Collaborates with site leadership to assure all care needs of referrals can effectively be met.
• Reviews and assures referral documentation meets face to face standards.
• Identifies the need for start of care clinician to assess patient for palliative care or remote patient monitoring program.
• Identifies the timing needed for SOC/ROC visits for IV's, enteral feedings, injections or specialized wound care, and communicates visit needs with scheduling.
• Audits and processes workflow and maintains current and accurate medical records and clinical documentation to allow patients to be scheduled.
• Reviews entire referral (i.e. H & P, nursing notes, etc.) and places coordination note in "POINT CARE" visit alert.
• Serves as a resource to the clinical team for questions and concerns regarding patient care issues, federal and state regulations, and professional standards of practice in collaboration with the Administrator and/or Clinical Supervisors.
• Informs the Executive Director or designee immediately of any critical issues in accordance with notification policy.
• Maintains knowledge of requirements of regulatory agencies, accrediting bodies, and third party payers.
• Collaborates with the home health or hospice clinical team to operate within the allocated resources and budgeted goals, efficiencies, and productivity standards.
• Fosters a positive work environment that attracts, retains, and motivates employees.
• Responds timely and thoughtfully to questions, requests, and work product from departmental staff that has been provided for review and comment.
• Answers all phone inquiries from consumers and referral sources, along with making outbound calls to previous patients, to assist them in accessing appropriate home health and hospice services and benefits and ultimately retaining them as a patient.
• Establishes and maintains good working relationships with referral sources, patients, and location staff.
• Participates in on-call rotation, as needed.

All other duties as assigned.

Qualifications

Education

• Current unencumbered license for the state of Ohio to practice as a Licensed Practical Nurse (LPN) required.

Experience

• One year experience in a home health, hospice, or long-term care healthcare setting required.
• Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
• Proficiency with electronic medical records (EMR) preferred.

Other Requirements

• Must be able to read, write, speak, and understand the English language.

Working Conditions and Special Requirements

• Sitting - Up to 8 hours/day
• Standing - Up to 8 hours/day
• Walking - Up to 8 hours/day
• Lifting, transferring, pushing or pulling patients or equipment/supplies - Up to 50 pounds
• Driving - Up to 6 hours/day
• Travel % / Overnight Travel - Occasional
• Work weekends, evenings, and holidays - As needed for coverage
• On-call availability - Frequently
• Subject to patients with various disease processes - Occasional
• May be exposed to infectious waste, disease, conditions, etc. including exposure to the AIDS and Hepatitis B viruses - Work day
• Risk Category for Exposure to Bloodborne Diseases - Limited

Ohio Living Home Health & Hospice - Greater Toledo