Medical Records Coordinator II (Hybrid/Springfield MA Office)
Core
Execute retrospective medical record retrieval, claims data analysis, and risk adjustment support for health systems and provider offices.
Role type
Medical Records Coordinator
Builds
Medical record repository and risk adjustment reports
Domain
Healthcare administration / Health insurance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medical records retrieval, Claims data analysis, EHR/EMR navigation, SFTP data transfer, Database management, Report documentation, Process improvement, Invoice reconciliation
Preferred skills
MS Office Suite proficiency, Data analysis, Business analysis, Project management
Technologies
MS Office Suite, MS Teams, Excel, Outlook, Word, SFTP portals
Responsibilities
Execute request, retrieval, and pend resolution of medical records; Utilize custom and SFTP portals to facilitate PHI data transfer; Collaborate with health systems and provider offices to execute release of information requests; Update operational databases and document commentary; Navigate and escalate obstacles to medical record retrieval; Support and implement process improvements; Verify retrieved medical records' accuracy; Populate chase specific reports to drive risk adjustment programs; Reconcile retrieval related invoices
Seniority
Entry-level, operational IC