Enters patient information/medical record information into customized databases. Generates reports from the cumulative data. Collaborates with physicians, nurses, and ancillary department personnel to ensure appropriate documentation supports data collection needs. Collaborates with appropriate Health Information Services personnel to assure data collection/abstraction is completed in a timely manner. Works with appropriate outside agencies (MDHHS, JCAHO, etc.) to assure that data collection is appropriate, accurate and timely. Conducts billing and revenue inquiries within electronic health record systems and with relevant third-party payers. Works with internal billing, revenue and financial assistant teams to ensure accurate documentation and claims creation.
***This position is not remote***
1.Abstracts inpatient and outpatient medical record data (electronic and paper) and enters it into the computer systems for projects including but not limited to JCAHO and MPRO, HEDIS and other quality measures. for research projects, quality improvement studies, statistical reporting. Responsible for quality control of the data and follow up of any missing data elements.2.Interprets data based on DRG, APC, ICD-9, ICD, CPT4, and HCPCS codes.3.Generates patient data reports from databases for weekly, monthly and ad hoc review. This involves understanding of custom reports and being able to generate non-custom data reports as required.4.Follows up with appropriate staff to track medical records requiring abstraction to assure timeliness of data collection.5.Generates slides and data graphs for use at meetings, etc. as requested.6.Conducts and participates in medical record reviews (open and closed) in compliance with JCAHO standards.7.Coordinates the data collection provided through medical record review. Provides reports of this data with explanation to appropriate departments/committees.8.Works with appropriate departments to follow up on issues relative to record review findings.9. Transmit coded patient treatment information to payers and other recipients as needed.10. Coordinate insurance reimbursement of care providers from payers11. Review patient bills for accuracy and completeness and obtain any missing information12. Follow up on unpaid claims within standard billing cycle timeframe as needed.13. Utilizes a high level of interpersonal skills to work effectively with the variety of personnel interacting with, and making requests of the databases.14. Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participates in their resolution.15. Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to Trinity Health.16. Discusses patient and hospital information only among appropriate personnel in appropriately private places.17. Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.18. Behaves in accordance with the Mission, Vision and Values of Trinity Health.19. Provides quality patient care by considering the age specific, development and cultural needs through competent clinical practice. Demonstrates unit/area competencies.Required Education, Experience and Licensure
Education: Associates Degree in Health Information Technology (RHIT Certified) OR Associates Degree in an allied health field or clinically related field.
Experience: 2+ years of related working experience.
This position requires working on-site for each scheduled work day. The position is NOT remote and a remote work arrangement will NOT be considered.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.