Healogics

Healogics

Medical Record Analyst & Educator

Jacksonville, FL - ZCDME - DME

Sponsorship not specifiedDetected 26 days ago
Data AnalysisComplianceAccountingExcelAuditingHRISHIPAAEHR/EMRLeadershipCommunicationTime ManagementMicrosoft OfficeClaims Management

About the role

  • Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites.
  • With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing.
  • As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships.

Responsibilities

  • Upload and maintain collected analysis and determination documents in HWCS' Documentation Repository System.

Requirements

  • If you are a current employee, to submit a job application, you need to apply as an internal candidate in Workday via the "Jobs Hub".
  • Perform other duties as required.
  • education, experience, geography as well as operational needs and other considerations permitted by law.

Skills

  • Working knowledge of DME coding, billing, payor requirements, and denial management.
  • Familiarity with medical terminology.
  • Proficient in Microsoft Suite (Excel, Word, Outlook).
  • Strong interpersonal, written and verbal communication skills with a focus on customer service.
  • Organization, prioritization and time management skills.
  • Working knowledge of systems/applications with indication of those preferred.
  • Demonstrated ability to exhibit integrity and commitment to professional ethics.
  • Budget and long-term planning skills.

Compensation

  • Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites.

Benefits

  • Associates degree from an accredited university or college in business, accounting, finance, healthcare administration or related field or equivalent experience
  • Minimum of two (2) to four (4) years related experience in health care finance and/or revenue cycle in hospital, physician office or., other related setting.
  • Due to the requirement to routinely access medical records, this position requires a familiarity and compliance with the Health Insurance Portability and Accountability Act ("HIPAA") as well as similar state laws.
  • The Medical Records Analyst & Educator will understand and fully support the mission, vision, and value statements of HWCS and the Healogics family of companies.
  • Return incomplete order packets to the Medical Records Processor and identify what documentation is missing.
  • As necessary, work with Medical Records Processor to contact and educate accounts regarding missing documentation.
  • The Medical Records Processor should engage in continued contact to ensure supplemental data or documentation is received once education has been provided.
  • Analyze order packets based on the identified payor and their associated coverage determination guidance.
  • Review order packets for DME or supplies as compiled by the Medical Records Processor.
  • Provide routine follow-up to wound care center-based staff to advise of metrics related to initial completeness of documentation for order packets received as well as validation rate for medical necessity requirements.
  • Follow all confidentiality and security requirements as to medical records.
  • Required Education, Experience and Credentials:

Company info

  • The rewards at Healogics are immense, starting with the important work we do to change patients' lives.
  • We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide.
  • Think you are a great fit?
  • The Medical Records Analyst & Educator is a member of HWCS' Healogics Documentation Team who works closely with outside vendors and / or customers as well as internal HWCS staff and employees of other Healogics entities.
  • Complete administrative duties including answering phones, taking messages, responding to emails, communicating information back to vendors / customers, maintaining necessary logs, and collaborating with fellow team members.
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This listing is sourced directly from Healogics's careers page and normalized into a canonical job model.