Medical Records Coordinator III

Job Summary:

The Medical Records Coordinator III is responsible for all forms and aspects of medical record retrieval, including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Request of Information (ROI) deployment, pend-record resolution, medical record audits, attestation capture, and report documentation.

In addition, Medical Records Coordinator III serves as a knowledge resource for the team.  They will leverage their knowledge to address issue escalations, research process enhancements, and resolve complex/problematic medical record retrieval issues.

Essential Functions:

• Coordinate and execute the request, retrieval, and pend resolution of medical records through various channels
• When needed provide personal information necessary to gain access to health network systems
• Collaborate with health systems and provider offices to execute and document their process for release of information requests
• Enhance and update operational databases, and provide context by documenting commentary
• Initiate, support, and implement process improvements with all external and internal partners
• Utilize the office suite including, but not limited to MS Teams, Office, Excel, Outlook, and Word to facilitate record retrieval and execute mail merge
• Verify retrieved medical records’ accuracy
• Manage portal, and FTP-based data transfers to facilitate medical record retrieval
• Manage practice and health network relations to minimize provider abrasion
• Generate chase specific reports to drive and reflect the execution of risk adjustment programs
• Support and refine implementation of risk adjustment processes across all lines of business
• Review, research, and correct claims data to produce information optimized for chart retrieval
• Review and reconcile retrieval related invoices
• Meet production and quality standards for medical record processing cycle
• Support special projects
• Assist with team’s training and development
• Serve as knowledge resource for team
• Perform any other job duties as requested

Education and Experience:

• High School Diploma or equivalent required
• Minimum one (1) year healthcare experience required
• Minimum two (2) year medical records experience required
• Minimum two (2) year EHR/EMR experience required

Competencies, Knowledge and Skills:

• Intermediate proficiency in the Microsoft Office Suite
• Verbal and written communication skills
• Ability to work independently and within a team environment
• Attention to detail
• Critical listening and thinking skills
• Time management skills
• Proper phone etiquette
• Data analysis
• Business analysis
• Project management
• Customer service orientation
• Brand ambassadorship
• Decision making/problem solving skills
• Takes initiative to research and resolve obstacles
• Must be able to self-direct work when given a goal/task

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• May be required to travel

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.