Job Description
Job Summary:
The Team Lead, Medical Record Retrieval is responsible for all forms and aspects of retrospective HCC capture and submission including, but not limited to, claims data targeting, outreach data research planning, securing direct EMR access, ROI process development, pend-record resolution oversight, medical record auditing oversight, attestation pursuit direction, workflow documentation, and retrospective process stewardship.
They will guide the deployment, performance and development of the MRC team, coordinate vendor and internal resources to achieve departmental goals and ensure relevant regulatory/compliance/legal guidelines are followed. Additionally, the Team Lead is responsible for supporting the implementation of Risk Adjustment's strategic initiatives. This position will work 4 days per week in the Dayton HQ office and 1 day remote.
Essential Functions:
Drive, enhance, track, audit, and report on medical record retrieval processes
Create, review, revise, and enforce departmental policies and procedures
Ensure team's training and development is up-to-date
Approve time sheets, conduct performance reviews and execute other leadership administrative tasks
Assist with interviewing, selecting and training new team members
Ensure retrieved medical records' accuracy is confirmed via audit
Ensure vendor performance meets operational goals and adheres to contractual standards
Support vendor contracting processes
Support project implementation by providing workflow development, training, and oversight
Communicate with health systems to obtain, document, and track access to medical records
Manage custom provider portals, secure emails, and SFTP to securely transfer PHI
Research claims data to optimize chart retrieval
Ensure payment of retrieval related invoices
Perform any other job-related instructions as requested
Education and Experience:
Associate degree in Health Information Management, a related field or equivalent years of relevant work experience is required
Minimum of three (3) years of clerical support experience is required
At least one year of previous leadership experience is preferred
Competencies, Knowledge and Skills:
Team leadership and strategic management skills
Vendor management and contracting support skills
Process and workflow management skills
Advanced proficiency in the Microsoft Office Suite
Verbal and written communication skills
Ability to work independently and within a team environment
Attention to detail
Critical listening and thinking skills
Time management skills
Data Analysis skills
Business Analysis skills
Customer service orientation
Brand ambassadorship
Decision making/problem solving skills
Ability to take initiative to research and resolve obstacles
Must be able to self- direct work when given a goal/task
Ability to communicate with all levels of management
Licensure and Certification:
None
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
May be required to travel
Compensation Range:
$53,400.00 - $85,600.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.
