Health Information Coordinator chez St. John's United

Description

SUMMARY:   

Responsible for coordinating data entry of client health information and service documentation into the comprehensive clinical-financial computer system, while assuring compliance with corporate standards and federal, state and local guidelines. Is knowledgeable of and supports the philosophy, purpose, goals and policies of St. John’s United.  

ESSENTIAL JOB FUNCTIONS:

Job Responsibilities:

• Reviews or coordinates clinical data entry of assessments, medications, diagnosis, problems, goals and interventions, and payers into computer system.

• Assists in completion of final audits of Medicare clinical and billing records. Assures accurate data entry to create an accurate client bill. Responsible for accurate, timely billing and follow up of Medicare claims.

• Maintains current and accurate client records through use of computer and paper/chart documentation in accordance with corporate policies, federal, state, and local guidelines.  Follows SJU protocols in all areas of the computer system, understands other parts of the system and aids others in related areas as needed.

• Performs inquiries regarding patient insurance eligibility, payment status, and obtains authorizations for services as necessary. 

• Performs export and follow up of OASIS assessments to the state Department of Health.  

• Uses computer system to run reports, using them to evaluate data entry accuracy. Edits or reports problems as needed.

• Develops and maintains close working relationships with employees and contracted staff to coordinate transfer and/or editing of clinical and billing information.

• Participates in the orientation, in-service and continuing education of clinical staff as requested; keeping the staff current with changes in health care procedures and policies as needed.    

Employee Responsibilities:

• Follows policy and procedures on TB testing.

• Follows policy and procedures on annual influenza vaccinations.

• Attends all mandatory in-services

Safety:

• Obeys safety rules of St. John’s United

• Identifies, reports, and/or corrects obvious safety hazards

• Attends mandatory safety in-services

Mission/Customer Service:

Supports the growth and actively engages in the Eden Alternative philosophy, including a work environment with plants and animals.

Follows the St. John’s Guidelines for Customer Service

*Let the Mission be your guide

*Make eye contact and smile

*Greet & welcome each and every person

*Seek out personal contact

*Provide immediate service-listen & act

*Use appropriate body language at all times

*Be gracious to each & every person

Requirements

REQUIREMENTS:

• Working knowledge of office-based computer programs; such as Word and Excel (Minimum Level 1 competency preferred).
• Knowledge of medical terminology, and diagnosis coding.
• ICD10 coding experience preferred. 
• Two years of medical record or health care billings experience preferred.
• One year of experience in a hospice or home health agency is preferred.
• Must possess strong communication skills, leadership ability, emotional ability and high professional standards of care.
• Must possess a valid driver’s license.
• Must be able to read, write, speak and understand the English language.
• Two years college education preferred (Clinical, Medical Records or Business preferred).

PHYSICAL DEMANDS:

• Requires lifting, pushing, pulling and moving medical supplies, etc.
• Requires moderate bending, standing and reaching activities.

WORKING CONDITIONS:

• Normal office setting.
• This position requires the ability to function independently in performing assigned duties
• Work involves frequent exposure to hazards and bloodborne pathogens, which require following basic safety precautions. 
• Work involves exposure to plants and animals within the environment. 

The examples of essential job functions identify the major duties and requirements for the performance of this job and do not identify all duties, responsibilities and requirements performed by positions in this class.