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Medical Records Specialist

Obtain medical records for processing, using Group Point, Hospital electronic medical records systems or paper copies.
Analyzing and reviewing medical records for sensitive information that may require special authorizations for release. This involves page by page review.
Redacting information that does not pertain to that particular visit in order to meet the minimum necessary standards.
Verifying that valid authorizations are on file when needed
Reviewing FACS system and the UB04 and/or HCFA has all information needed by the insurance company for the timely processing of payment.
Processing medical records and updating the FACS system with status changes. Review step taken by claim representative.
Prepare medical records for billing by pulling in the appropriate bills and any other correspondence needed.
Printing and mailing paper claims where necessary.
Scanning medical records to the correct FACS accounts and updating status in FACS.
Process requests for medical records in a variety of ways: printing directly from the client systems, create and distribute spreadsheets to clients and printing bills along with spreadsheets and mailing to medical records liaison on staff. Create weekly and/or monthly reports on all outstanding medical records request to perform follow up with clients, liaisons, etc.
All other job duties as assigned by management
Duties may vary by Hospital or service center
Qualifications:
Education: High school diploma or equivalent. Associate Degree, some College or technical school preferred.
Understanding/knowledge of medical coding or terminology helpful
Knowledge: Thorough knowledge of HIPAA and a familiarity with Workers Compensation and/ or Motor Vehicle insurance regulations or state law very helpful. Understanding or experenance with medical billing procedures.
Experience: One year experience in medical records and/or hospital billing.
Skills: General computer and typing skills, ability to learn a variety of different computer systems and applications, good communication skills. Demonstrated analytical and problem solving skills. Extremely strong attention to minute detail. Capacity to concentrate and focus for extended periods of time.
PHYSICAL DEMANDS/WORKING CONDITIONS - Requires sitting, some bending and reaching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 5 pounds occasionally. Work is performed in an office environment
Company Description:

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA.




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