Chart Procurement Analyst

Arkansas Blue Cross and Blue Shield; Arkansas; Hybrid; USD 48.000 - 62.000; Vollzeit

Benefits dieser Stelle

Tuition reimbursement

Club Blue onsite gym

Green Leaf Grill onsite restaurants

Zusammenfassung

Arkansas Blue Cross and Blue Shield seeks a Chart Procurement Analyst to coordinate medical records retrieval for risk adjustment initiatives, data analysis, and reporting. You will liaise with provider networks, internal teams, and vendors to streamline collection and sharing of records.

The role combines analytics, coding support, and process improvement, with work-from-home flexibility within Arkansas and a M-F schedule, occasional local provider office travel.

Qualifikationen

• Bachelor's degree in Business or Healthcare management.
• In lieu of degree, five years’ health-related non-clerical experience.
• Minimum three years' analysis, research and/or medical coding experience.
• Minimum two years' medical record review experience.
• Knowledge of EMR systems or electronic data sources.
• Knowledge of HL7, FHIR preferred.
• Knowledge of Risk and Quality concepts related to Medicare Advantage/ ACA preferred.
• Visio or flowcharting software preferred.

Aufgaben

• Assists providers with sending medical records.
• Aids risk adjustment business analytics and/or medical coding training.
• Collaborates with internal departments, medical offices, and copy service vendors.
• Develops and maintains tools to assist with retrieval efforts.
• Identifies process improvement opportunities.
• Other duties as assigned.
• Retrieves, analyzes, coordinates, monitors and reports medical records for chart retrieval.

Kenntnisse

Active Listening

Analyze Information

Organizational Planning

Interpersonal Communication

Microsoft Excel

Problem Solving

Reading Comprehension

Oral Communications

Written Communication

Electronic Medical Record

Medical Record Reviews

MS Office Proficiency

MS Access

MS Project

SharePoint

Ausbildung

Bachelor's degree in Business or Healthcare management related field

Tools

MS Access

MS Project

SharePoint

Visio

Flowcharting

HL7

FHIR

Jobbeschreibung

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here.

Job Summary

The Chart Procurement Analyst coordinates the retrieval of medical records for initiatives related to risk adjustment, documentation and coding accuracy and quality measures. The incumbent is responsible for collecting, organizing, and analyzing medical records data. This includes using provider information to create reports about how to streamline the collection and internal sharing of patient records. This position is a liaison between healthcare organizations, copy service vendors, internal departments and the risk adjustment team. This position will work closely with provider network, collaborative health integration, primary care, and quality departments to ensure program efficiencies and streamlined provider communication, collaboration and education as applicable.

Requirements

EDUCATION Bachelor's degree Business or Healthcare management related field. In lieu of degree, five years’ health related non-clerical experience with an insurance, managed care or healthcare organization will be considered. EXPERIENCE Minimum three (3) years' analysis, research and/or medical coding experience. Minimum two (2) years' medical record review experience. Possess knowledge of the EMR (Electronic Medical Records) systems or electronic data sources. Knowledge of HL7, FHIR, etc. preferred. Knowledge of Risk and Quality concepts, related to Medicare Advantage and Affordable Care Act populations preferred. Knowledge of Visio or flowcharting software preferred.

ESSENTIAL SKILLS & ABILITIES

Organizational Planning Interpersonal Communication Microsoft Excel Reasoning Analyze Information Active Listening Motivated self-starter Electronic Medical Record (EMR) software Medical Record Reviews Proficiency working with MS Office Suite, such as Word, Excel, and PowerPoint. Proficiency with MS Access, MS Project, and SharePoint software preferred.

LOCATION

Work from home within Arkansas. Work Schedule: M-F. Travel: Some local travel may be necessary to go to provider offices to retrieve records.

Skills

• Active Listening
• Analyze Information
• Computer Work
• Critical Thinking
• Customer Service
• Decision Making
• Evaluating Information
• External Collaboration
• Medical Record Reviews
• Monitoring and Evaluation (M&E)
• Oral Communications
• Organizational Planning
• Problem Solving
• Reading Comprehension
• Written Communication

Responsibilities

• Assists providers with the process of sending medical records
• Assists with risk adjustment business analytics and/or medical coding, which requires the attainment of specialized certifications, training and education
• Collaborates with internal departments, medical offices, and copy service vendors
• Develops and maintains tools to assist with retrieval efforts and researches solutions for retrieval road blocks
• Identifies process improvement opportunities
• Other duties as assigned
• Retrieves, analyzes, coordinates, monitors and conducts reporting of medical records to ensure success of chart retrieval aspects

Certifications

Hiring Range $47,600.00 - $61,800.00

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular ADA Requirements 1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.

Why? We Love our Employees

At Arkansas Blue Cross, we care about the health, wellness, and education of our employees. We offer many great incentives such as: Tuition reimbursement. Club Blue, a free, onsite gym to encourage exercise. Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating. Incentives for wellness education and exercise.

We Love our Culture

The average tenure is 10 years with hundreds of employees having been here 15 years or longer. Our inclusive culture brings employees together to connect while celebrating our differences.

We Love our Community

Our employees often volunteer within their communities, at charity events, walks and runs, schools and nonprofits. When disasters strike, our employees help wherever they are needed. It’s just another way we show that Blue cares.