Health Information Management Specialist II
Breg
Summary
As a Health Information Management Specialist II, you will obtain medical records and supporting documentation, proactively secure incomplete data for clean submission of claims utilizing EMR access, technology support software, requests for information, and traditional medical record requests.
Job description
- Obtains medical records and supporting documentation.
- Proactively works to secure incomplete data for clean submission of claims utilizing EMR access, technology support software, requests for information, and traditional medical record requests.
- Examines documents and determines its proper placement within the paper or electronic record.
- Within established guidelines, utilizes critical thinking to complete key job responsibilities, such as, medical record retrieval, document labeling, and problem solving.
- Examines patient's medical records and verifies patient identification.
- Performs pre-scan validation of new claims and supporting documentation to ensure accuracy, timely processing, and revenue recognition.
- Works in Breg Claim System (BCS), utilizing patient care documentation and uploaded supporting claim documentation to resolve pending claims.
- Operates at a high level of productivity while upholding accuracy and quality controls.
- Comprehends general medical necessity requirements as stated in the LCD policy article for Breg's core products.
- Performs administrative tasks and ensures efficient office operations; includes receives paper claim documentation, scans of claims, tends to mail and overnight shipping, faxes, copies, scans, files, purchases office supplies, and creates general correspondence.
- Maintains and ensures HIPAA compliance for patient medical records and personal health information.
- Meets daily, weekly, and monthly objectives including claim processing, revenue, and achievement of scorecard expectations.
- Promotes Breg's culture of accountability by demonstration and exemplifies Breg's cultural beliefs.
- Contributes to the development of Health Information Management processes and procedures to ensure continuous quality improvement.
- Assists and participates in process improvement activities as a subject matter expert.
- Supports all other medical billing and collection tasks as required.
- May meet, greet, and assist patients, vendors, and visitors promptly, efficiently, and in a professional manner.
- May maintain office supplies and equipment by anticipating supply needs.
Requirements
- High school diploma or equivalent required.
- 3+ years of experience in medical billing or HIM related job duties required.
- Previous medical records experience, including EMR navigation, general billing knowledge, CPT and ICD-10 codes required.
- Knowledge of standard medical terminology, basic human anatomy, orthopedic diagnoses, and medical record format, content, and medical documentation order required.
- Knowledge of EMR systems and understanding of where various data points and clinical information is located required.
- Computer proficient to include web browser/internet search, MS Outlook, Word, Excel, and Power Point capabilities.
- Technical competence includes the ability to learn new software and systems.
- Proficient in the use and operation of office machinery, telecommunications, and web-based tools.
- Ability to perform routine maintenance and basic maintenance of scanning equipment preferred.
- Ability to work in a fast-paced environment while remaining calm and professional.
- Ability to maintain consistent, regular attendance and punctuality.
Benefits
- Medical, Dental & Vision
- Disability Insurance
- Life Insurance
- Paid Time Off
- Company-Paid Holidays
Company overview
Breg is a leading orthopedic medical device company specializing in the design, development, and manufacturing of innovative orthopedic products and solutions. Founded in 1989, the company has established itself as a prominent player in the orthopedic bracing and support market. Breg's product portfolio includes a comprehensive range of orthopedic braces, cold therapy systems, pain management solutions, and rehabilitation products for various musculoskeletal conditions. The company focuses on providing clinically effective products that enhance patient outcomes and improve quality of life. Breg serves healthcare professionals, including orthopedic surgeons, physical therapists, and athletic trainers, across multiple healthcare settings. With a commitment to innovation and patient care, the company has developed proprietary technologies in cold therapy and bracing systems that have become industry standards. Breg operates as part of the broader orthopedic medical device sector, contributing to advancements in non-operative orthopedic care and post-surgical rehabilitation solutions.