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Michelle
Release of Information Clerk-GS-6
Contacto
Competencias
Demonstrated experience with Release of information.
Demonstrated experience with Medical records management.
Demonstrated experience with Healthcare administrative support.
Demonstrated experience with Electronic Health Record (EHR).
Demonstrated experience with Medical coding & classification (ICD-10-CM/PCS, CPT, HCPCS).
Educación
Resumen
Release of Information Clerk-GS-6 open to new opportunities
Experiencia
Release of Information Clerk-GS-6
Supporting supervisor in being apart determining which candidates are better qualified for a position.. Managed documents for monthly reports in Excel and Microsoft Word.. Processes all first, second, third party, incoming and outgoing imaging requests to the facility for Imaging Release of Information.. Ensures accuracy, timeless and urgency of each request.. Evaluates validity of each request and determines which images are to be released in compliance with existing laws (Privacy Act of 1974, Freedom of Information Act, and Health Insurance Portability and Accountability Act).. Ensures that proper authorization exists before imaging release is made.. Processes imaging requests for the requesting agency or individual by burning CD/DVDs from Imaging Archiving System, VISTA RAD and/or Imaging PACS, inputting all imaging requests information into the ROI computer package for logging and tracking of these requests and scanning all required paperwork into the patient's medical record.. Processes imaging requests for Huntsville CBOC imaging department and Community Care imaging requests for consults.. Receives, directs and assists callers and visitors with the completion of imaging request forms.. Responds to questions from patients concerning imaging release of information services.. Provides advisory and technical assistance to patients, administrative staff and professional staff regarding imaging release of information.. Searches for, gathers, and copies imaging studies applicable to each specific request, which includes determining whether and to what extent certain imaging information may be furnished.. Assists patients second and/or third parties to resolve discrepancies, sorting out errors and reconstructing past transactions, cases, or events found on initial imaging ROI request.. Works in conjunction with clinical staff to obtain information necessary to respond to imaging requests when not readily available in the record and to clarify imaging request to ensure accuracy.. Enters all imaging request disclosures in the ROI system and when doing so selects the appropriate authority for disclosure, making necessary internal comments for non-disclosures and closing out or completing disclosures in accordance with time periods specified by federal statutes.. Educates and communicates with internal and external stakeholders to provide technical expertise regarding the imaging release of information process.. Receives disks to upload imaging into the patient's medical record for comparison and for continuum of care.. Scans these disks to protect the system against computer viruses.. Properly disposes of disks according to guidelines of FOIA/Privacy office.. Works closely with the facility's Privacy/FOIA officer(s) to resolve issues and receive guidance and training on all statutes, mandates, policies and procedures that specifically address Release of Information.. Sorts and distributes incoming mail for Imaging Services (Radiology/Nuclear Medicine).
Advance Medical Support Assistant GS-6
Works collaboratively in an interdisciplinary coordinated care delivery model in a CPM VA Outpatient clinical team in Primary Care, Specialty Care, or Mental Health and performs receptions duties, customer service and other duties assigned for the proper and timely treatment of patients.. Maintains appointment schedule for the CPM VA outpatient clinical teams or float in Primary Care, Specialty Care or Mental Health. Maintains effective communication with the patient, interdisciplinary team, VA medical centers, other agencies, outpatient and inpatient clinics and participates in team huddles to manage and plan patient care; setting priorities and deadlines, performing administrative follow up action, and adjusting the flow and sequencing of the work to meet team and patient needs.. Schedules appointments, manages, reviews, and dispositions scheduling manager and VA online scheduling requests, consults, recalls, encounter action required reports, return to clinic orders, electronic wait list, secure messaging, vet link, insurance buffer entries, etc. daily in accordance with VHA scheduling directives and policy.. Supports patient safety standards using the correct Veterans Affairs identification of all patients using two forms of identification, name and full Social Security Number.. Use each interaction with the patient to validate and update patient demographic information, either in person during check-in or over the phone, to decrease the incidence of returned mail due to incorrect addresses and inability to contact patient by phone due to incorrect number.. Assists patients, clinical team, and visitors in person or telephonically.. Prepares any required pre-appointment documents, schedule the appropriate level of care and documents the schedule or comments in the appropriate consult, administrative contact note, or scheduled appointment.. Explains the VA's mandate to collect insurance information to veterans, their families, and other eligible patients. Contributes to the revenue collection process by identifying patients with third party insurance.. Collects, scans, and updates health insurance information serving a major role in the revenue process.
Medical Records Coordinator
Maintains confidentiality of patient information as regard to HIPAA laws.. Performs any administrative duties as requested by the provider or Specialty Services Manager.. Displays excellent verbal and written communication skills.. Protect the security of medical records to ensure that confidentiality is maintained.. Review records or completeness accuracy and compliance with regulations.. Release information to persons or agencies according to regulations.. Navigate hospital electronic medical record system to retrieve patient information.. Manage Medical Records Coordinator ‘bucket’ for clinic patient record requests.. Serve as liaison for third party auditors- coordinate and schedule on-site technician.. Maintain active and discharged medical records.. Notify staff involvement of incomplete records.. Assist in reporting all incidents/accidents.. Retrieve patient records, deliver as necessary.. Collect, assemble, check & file charts as required.. Actively contribute in the facility improvement process.. Ensure all telephone orders are confirmed.. Respond to request for medical records copies & provide billing information accordingly.. Experience in being on the interview panel and choosing the best qualified person for the job.
Revenue Control Clerk
Develops strategic plans and programs for the Revenue Cycle team and ensures that goals and objectives of the team are properly defined and clearly established.. Develops policies, guidelines, and implementing procedures and ensures consistent company-wide implementation.. Provides projections and reports as required, for development and management of budget; produce and analyze monthly reports that assist in the monthly forecast process.. Provides projections and reports as required, for development and management of budget; produce and analyze monthly reports that assist in the monthly forecast process.. Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the department policy.. Implementation of all Revenue Cycle team plans, programs, and projects strictly adhering to prescribed deadlines and schedules.. Manages and oversees the patient services and billing staff in handling patient relation.. Ensures that records are stored securely and handled in compliance with HIPAA privacy and security regulations, if applicable.
Patient Service Representative/Receptionist
Schedule patient appointments and make reminder calls.. Obtain patient address, contact details, insurance information and medical history.. Greet and direct patients to examination rooms.. Verify patient’s insurance coverage and collect co-payments.. Process credit card payments and balance daily cash deposits.. Maintain patient data up-to-date and verify patient information at every visit.. Work under the guidance of Supervisor and follow departmental policies and procedures.. Escalate patient’s unusual behavior to Supervisor.. Inform patients about delays and waiting times.. Review patient accounts identify delinquent accounts and collect due amounts.. Attend educational trainings for professional development.. Respond to patient queries and concerns in a professional manner.. Stay updated with information regarding insurance programs and funding sources.. Assist patients in filling patient consent forms and payment contract forms.. Screen patients for financial assistance and assist them in preparing required funding documentations.
Clinical Documentation Specialist
Manage all electronic clinical documentation in the hospital.. Develop forms and processes for CPSI based on evidence based best practices.. Manage updates in CPSI and test processes before going to the live server.. Build and generate reports from the EMR.. Review concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI) and quality.. Complete accurate and timely record review to ensure the integrity of documentation compliance. Complete accurate and concise input of data into CPSI resulting in accurate metrics provided by CPSI. Understands and supports CPSI documentation strategies (upon completion of training) and continues to educate self and team members using educational tools, videos and provided WebEx’s.. Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance.. Strategically educates members of the patient-care team regarding documentation regulations and guidelines, including attending physicians, allied health practitioners, nursing, and care management. This includes quarterly compliance updates from Medicare.. Effectively and appropriately communicates with physicians and other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation. Communicates with HIM staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues.. Complete well-timed follow-up case reviews on all concurrent cases with priority given for resolution of those with clinical documentation clarifications.. Participate in meetings, including feedback on outstanding issues, presentations for educational opportunities and any other needs identified.. Other duties as may be assigned.
Medical Record Clerk
Process patient admission and discharge documents.. Review records for completeness, accuracy and compliance with regulations.. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.. Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.. Release information to persons and agencies according to regulations.. Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.. Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.. Transcribe medical reports.. Identify, compile, abstract and code patient data, using standard classification systems.. Resolve/clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others to get additional information and by participating in the coding team's regular meetings.. Train medical records staff.. Assign patient to one of several hundred "diagnosis-related groups", or DRGs, using appropriate computer software.. Post medical insurance billings.. Process and prepare business and government forms.. Contact discharged patients, their families, and physicians to maintain registry with follow-up information, such as quality of life and length of survival of cancer patients.. Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, and other users.. Consult classification manuals to locate information about disease processes.. Compile medical care and census data for statistical reports on diseases treated, surgery performed, and use of hospital beds.. Develop in-service educational materials.