Job Description
Overview Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE").
PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible.
Benefits BENEFITS for Full and Part-time employees who work 30 or more hours per week:
We pay 100% of the MEDICAL monthly premiums for Employee Only coverage.
We pay 100% of the DENTAL monthly premiums for Employee Only coverage.
We provide an affordable VISION monthly premium for Employee + Family coverage.
We pay 100% of BASIC LIFE for a benefit amount of $10,000.
We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account.
We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period.
We offer eleven (11) company-observed PAID HOLIDAYS.
We offer education and TUITION REIMBURSEMENT.
We offer MILEAGE REIMBURSEMENT.
Bienvivir is currently accepting applications for the following position:
MEDICAL RECORDS REVIEWER
Responsibilities Data entry into the EMR, including effectively scanning, uploading, and auditing all relevant paper and electronic documents into the EMR.
Audit documents for accuracy, completeness, and relevance; perform data entry in the EMR as required.
Follow EMR and scanning program guidelines in accordance with Compliance and MR policies and procedures.
Review and prepare paper documents for scanning and/or uploading; review electronic documents to ensure completeness, accuracy, and correct categorization before uploading to the EMR; perform audits as needed.
Identify and resolve discrepancies by coordinating with appropriate MR staff before uploading documents to the EMR.
Serve as backup for uploading electronic progress notes to the EMR.
Assist in auditing electronic progress notes uploads.
Manage the electronic lab process by processing results from contracted laboratories for all centers and promptly entering lab data into the EMR; maintain tracking logs and ensure timely documentation.
Collect information related to participants’ inpatient stays, emergency room visits, and complete the Service Utilization Report (SUR).
Collect and track hospitalization data from interdepartmental meeting minutes.
Audit, review, and process hospital medical records, ensuring accuracy, completeness, and relevance before scanning and/or uploading them to the EMR.
Maintain updated logs to reflect any changes affecting data entry or reporting.
Prepare and submit weekly hospitalization data to the MR Coordinators for entry into the EMR, providing the information required for SUR processing.
Collaborate with MR Coordinators to resolve discrepancies in received medical records when information does not match what was reported.
Process medical records for Visitors; enter both electronic and paper Visitors documents into the EMR and pre-audit visitor medical records for storage and upload into the EMR.
Maintain an up-to-date visitor tracking log; ensure visitor records are saved in the network file share and accurately labeled and categorized; maintain the visitors purge folder per record retention policies.
Contact external facilities to cancel medical record requests based on visitor disposition and complete the record disposition process as required.
Initiate, verify, and track medical record requests for participants’ hospitalization stays, emergency room visits, and visitors’ previous medical history in compliance with departmental and regulatory standards.
Contact the Billing Departments of external facilities to verify admission and discharge dates, emergency room visits, and facility names.
Initiate medical record requests by preparing and faxing the request form, track, follow up on pending records, and keep the ER/Hospital tracking log up to date.
Contact external facilities to verify and request visitor medical records, using the information provided in the visitor’s authorization for release of information form.
Track and follow up weekly with external facilities on pending record releases to obtain visitor records prior to their scheduled appointments with Bienvivir Primary Care Providers; maintain an up-to-date visitor tracking log.
Prepare and audit medical records to be sent to Nursing Home Facilities upon admission and monthly thereafter for the duration of the participant’s stay in accordance with MR standard operating procedures and Interdisciplinary team (IDT) policy.
Retrieve records from the EMR, prepare and audit medical record packets for participants placement admissions, respite stays, and monthly medical records updates to be sent to nursing home facilities; maintain records of packets sent as backup documentation.
Provide backup support and coverage for MR staff during absences, including: MR Reviewer duties, MR Progress Notes Specialist duties, and MR Coordinator duties as needed.
Attend organization and department staff meetings, training, and in-services; staff absent meetings should check with the MR Supervisor for information.
Participate in cross-training within the MR Department and perform various projects and clerical duties as assigned.
Qualifications / Requirements High school diploma or GED equivalent required.
Certified from an accredited technical/trade school in the medical field preferred.
Two (2) years of work experience in the medical field preferred.
Experience with electronic health records programs, scanning procedures, and familiarity with HIPAA, CMS, TMHP and other regulatory requirements preferred.
#J-18808-Ljbffr Bienvivir All-Inclusive Senior Health
Job Tags
Full time, Part time, Work experience placement,