Health Info Mgmt Rep

Health Info Mgmt Rep

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

The posted compensation range of $20.91 - $32.41/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

As a Health Info Mgmt Rep, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients' medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.

Job Summary and Responsibilities

• Performs documentation preparation and filing/retrieval procedures per established procedures; scans and indexes medical records into the electronic medical record (EMR) system, including accurately entering, directing and handling patient messaging.
• Receives, reviews, validates and processes medical information requests from patients, physicians/medical professionals, insurance companies and other third parties.
• Validates and assigns patient information to the appropriate category/level in the EMR medical record such as: patient identification, date of service and appropriate documentation type.
• Processes all requests for medical information in accordance with established procedures, policies and Federal and State regulations.
• Determines validity of authorizations to assure only authorized parties receive information.
• Responds to incoming phone calls for release of information requests and patient/provider/third party assistance.
• Prepares incoming correspondence for processing.
• Processes all requests from the Regional Billing Office for records to be sent to various insurance companies for charge reimbursement per policy.
• Communicates via work queues/phone to keeps customers apprised of request status and document imaging turnaround time.
• Maintains electronic-based medical records and other correspondence according to policy, including faxing, receiving and mailing medical records in accordance with HIPAA and other privacy guidelines.
• Maintains organization of information center and physical charts.
• Logs/scans release forms and details of request in the appropriate EMR module.
• Enters appropriate data in the EMR system Release of Information tracking module.
• Scans authorization forms into the EMR.
• Accesses/monitors EMR work queue to resolve outstanding matters such as: error correction, chart retrieval, release of information and related healthcare information functions.
• Requests hard-copy records from outside facilities.
• Prepares electronic records for assigned clinics.
• Conducts routine quality audits of scanned and indexed documents to identify discrepancies to the FMG scanning matrix.
• Corrects erroneous scans per established policies and procedures to include poor quality scans, incorrect patient documentation, dates of service and sequence of consecutive documents.
• Produces routine system reports demonstrating compliance with required completion timelines and quality metrics.

Job Requirements

• One year work experience in healthcare, release of information or office setting.

Preferred

• Completion of medical record technology program or medical terminology and/or basic computer application courses, upon hire

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person body, mind, and spirit in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.