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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in Electronic Medical Record systems and Microsoft Office applications, with a strong focus on accuracy and efficiency in medical record retrieval. Capable of managing workloads under pressure while maintaining confidentiality and adhering to corporate privacy policies.
Highest-signal resume keywords
Electronic Medical Record ExperienceMicrosoft Office ProficiencyMedical Record Retrieval ExperienceProject Completion SkillsOrganizational and Problem-Solving Ability
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Electronic Medical Record SystemsMicrosoft WordMicrosoft ExcelMicrosoft AccessMicrosoft PowerPointRisk Adjustment DocumentationData ReportingChart RetrievalProcess ImprovementQuality Assessment
Soft Skills
Time ManagementCommunication SkillsSelf-MotivationMulti-TaskingOrganizational Skills
Industry Keywords
Health Information ManagementConfidential Health InformationProductivity TargetsPrivacy PoliciesTraining and Development
About the role
Key responsibilities & impact- Retrieve medical records accurately and efficiently via remote EMR access, fax and/or onsite at provider/facility locations
- Travel from home to provider offices or facilities to retrieve medical records, if required
- Interact face-to-face with medical personnel during onsite provider office and facility visits
- Communicate with medical personnel to schedule or confirm appointments
- Complete daily, weekly and/or monthly productivity and progress reports
- Meet or exceed productivity and accuracy targets established by management
- Protect member privacy in accordance with corporate privacy policies and procedures
- Perform other functions as assigned by management
- Level II: Serve as liaison between the Plan, provider offices/hospitals, and vendors for prospective and retrospective chart retrieval
- Level II: Request and retrieve medical records for plan review and Risk Adjustment Validation Audits (RADV)
- Level II: Act as preceptor to new employees and resource to existing staff
- Level II: Facilitate ongoing training
- Level II: Develop and update desk-level procedures, policies, workflows, and documentation repositories
- Level II: Collaborate with other operating teams
- Level II: Lead work groups and manage project deliverables when assigned
- Level II: Provide recommendations on process improvements, root-cause analysis, and barrier resolution
- Level II: Handle additional over-read projects and/or higher work volume
Requirements
What you’ll need- One (1) year of work experience required
- High School diploma or equivalent required
- Strong proficiency in Microsoft Office applications: Word, Excel, Access, and PowerPoint
- Successfully completes required training, testing and quality assessments
- Electronic Medical Record/Electronic Health Record experience is required
- Understanding of acceptable Risk Adjustable documentation
- Recognizes and properly handles confidential health information
- Ability to prioritize multiple high-priority tasks
- Excellent time management skills; highly organized and self-motivated
- Ability to multi-task, troubleshoot problems and work within time constraints independently
- Level II: Two (2) years of medical record retrieval experience required
- Level II: Advanced technical skills for use of MS Office (Excel, Word, Access, and PowerPoint)
- Level II: Demonstrated ability to utilize a variety of electronic medical records systems
- Level II: Ability to manage significant workload and work efficiently under pressure, meeting established deadlines with minimal supervision
- Level II: High degree of accuracy, efficiency, and dependability
- Level II: Ability to communicate clearly and effectively verbally and in writing
- Level II: Demonstrated organizational and problem-solving ability
- Level II: Demonstrated experience in project completion, educational program development and/or group presentation
- Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer
- Ability to travel across the Health Plan service region for meetings and/or trainings as needed
- Ability to work in a home office for continuous periods of time for business continuity
- Manual dexterity including fine finger motion required
- Repetitive motion required
Benefits
Comp & perks- Group health and/or dental insurance
- Retirement plan
- Wellness program
- Paid time away from work
- Paid holidays
- Potential remote work, decided case-by-case
