HIM Specialist

REPORTS TO: Revenue Cycle Manager- Coding

SUPERVISES: Not Applicable

RESPONSIBLE AND ACCOUNTABLE FOR:

• Provides timely, accurate and accessible electronic medical chart information by scanning medical records/health information for requested audits and for coding and billing of professional services from various EMR’s and hospitals.

REQUIREMENTS AND EXPERIENCE

• Accredited high school diploma required
• Knowledge of a wide range computer applications
• Must be able to work independently and efficiently with little supervision
• Ability to recognize, evaluate and solve problems
• Requires well developed organizational skills and basic office operations to assure appropriate documentation and follow-through.
• Professional appearance, pleasant personality, and courteous manners with everyone while representing US Digestive Health
• Demonstrates a patient-focused attitude. Committed to providing excellent service to all patients, business partners, and visitors. Willingness to assist with genuine interest in the well-being of others.
• Must demonstrate ability to work in fast-paced, deadline-oriented environment where the ability to meet deadlines is a must with constant communication required.
• Effective written and verbal communication skills.

TYPICAL PHYSICAL AND MENTAL DEMANDS:

• Full range of body motion; manual and finger dexterity and eye-hand coordination
• Bending, lifting, and carrying
• Extensive periods of sitting
• Normal color perception and corrected visual acuity and hearing to normal range
• Involvement with management, physicians, staff, and patients and their families

TYPICAL WORKING CONDITIONS:

• Clean environment in a gastroenterology physician’s office
• Potential exposure to communicable diseases

DUTIES AND TASKS INCLUDE BUT ARE NOT LIMITED TO:

• Keeps all patient information, practice information and staff information confidential
• Frequent mobility and/or sitting required for extended periods of time
• Some bending, lifting, and stooping required
• Normal color perceptions and corrected visual acuity
• Manuel dexterity to operate keyboard, calculator, and photocopier
• Involvement with management of information concerning physicians, mid-level practitioners, staff, hospital personnel, and patients
• Occasional high stress work may require dealing with angry, demanding patients and/or personnel

GENERAL:

• Follows established procedures, referring all new or unusual questions/concerns to Revenue Cycle Manager, Coding
• Acts as patient advocate, ensure a setting that protects the rights of the patient and well- being, safety, or dignity
• Demonstrates knowledge of OSHA, Code Blue, and Fire Safety measures
• Maintains knowledge of and complies with established policies and procedures
• Attends all required meetings

SPECIFIC:

• Assists coders by gathering documentation from hospitals to accurately code and bill professional fees:

▪ Multiple hospital systems
▪ USDH providers work is documented on hospital cards/papers with information that can be used to pull the appropriate data
▪ Label and scan the appropriate data to relevant folders for coding process.

• Organize and track hospital cards from USDH providers to ensure complete billing:

▪ Document received hospital cards/sheets
▪ Verify that all cards/sheets are received timely
▪ Inform Revenue Cycle Manager-Coding of missing or timely cards

• Track, pull, maintain documentation and medical records as needed for various audits and claim reviews.
• Maintain filing and administrative systems so that written or computer information is easily accessible and secure.
• Keeps up to date with governmental rules/regulations concerning medical health records.
• Creates a workplace culture that is consistent with the overall organization’s culture and emphasizes the identified mission, vision, guiding principles, and values of the organization. Leads employees to meet the organization’s expectations for productivity, quality, and goal accomplishment.
• Adheres to HIPAA Compliance. Maintains privacy of all parties regarding information as attained through written, verbal, or electronic disclosure. Maintains confidentiality of both patients and employees, consistent with facility guidelines.

Reports privacy breaches to the correct personnel.

• Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages.

ATTENDANCE AND RELIABILITY:

• Does not abuse or take advantage of PTO
• Regular attendance is a necessity
• Reports to work as scheduled and can complete all functions of job
• Always provides proper notification and advance notice of absences
• Reports to work, is at the assigned station, and ready to work at proper start time
• Returns from 30-minute lunch on time

OTHER:

• Maintains a well-groomed appropriate appearance
• Maintains a clean, well-kept work area

NOTE:

• All staff will be sufficiently in-serviced to each procedure prior to performing that task

SUMMARY STATEMENT:
This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job; it is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluation, and for establishing performance standards.

As a condition of employment, a complete background investigation will be conducted based on the rules of the specific State in which the employee is hired. Typically, the state investigative process includes a state and federal background check. In addition, a drug screen will be required. TB testing will also be required for all patient-facing roles.

EEO Statement

At US Digestive Health, employees and applicants are evaluated based on their qualifications, skills, and ability to perform the duties and responsibilities of the position. US Digestive Health is committed to assuring equal employment opportunities to all employees and applicants.

US Digestive Health is an equal opportunity employer. In accordance with applicable law, we prohibit discrimination based on race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic information, sexual orientation, to include gay, lesbian, bisexual, transgender and gender identity, or any other consideration protected by federal, state or local laws. Our commitment to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee, including supervisors and coworkers.

Disclaimer

This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice. The list of job responsibilities, skills, duties, requirements, and the like is not exhaustive, rather it is illustrative of the current essential functions required for the position.

This organization participates in E-Verify.

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. E-Verify Works for Everyone For more information on E-Verify, or if you believe that your employer has violated its E-Verify responsibilities, please contact DHS.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Physical setting:

• Office

Schedule:

• Day shift
• Monday to Friday
• No nights
• No weekends

Ability to commute/relocate:

• Reading, PA 19610: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Microsoft Excel: 1 year (Preferred)

Work Location: One location

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