Job Description

The Revenue Cycle Medical Records Case Manager will support documentation of medical necessity by facilitating medical records (MR) collection and client outreach, by offering expert review and interpretation on a case by case basis, and by maintaining collaborative and productive relationships within the organization relating to Revenue Cycle Management.

Responsibilities

• Obtain medical documentation by collaborating with billing operations and clinic medical records departments
• Review and interpret medical records, identifying critical data points for health insurance companies
• Have knowledge of oncology and organ health terminology
• Develop working relationships with other departments impacting revenue cycle performance
• Participate in meetings and reviews to improve performance
• Follow department procedures and ensure compliance
• Complete training relating to HIPAA & PHI privacy

Requirements

• 3+ years of relevant experience in healthcare administration, case management, or related fields
• Bachelor's Degree (BS, LPN, RN, BSN, BSHA)
• Knowledge of medical billing systems, terminology, and coding
• Proficiency with G-Suite products
• Experience in an Oncology or Transplant clinical setting preferred
• Excellent organizational, time management, and problem-solving skills
• Excellent interpersonal skills
• Ability to work in a fast-paced team environment
• Ability to analyze and report trends
• Ability to solve problems using critical thinking skills
• Maintains confidentiality of sensitive PHI information

Benefits

• No benefits