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CLFC Healthcare & Communications provides healthcare staffing and language access services to federal, state, and local government agencies nationwide. CLFC Healthcare & Communications is seeking a Health Information Management Specialist to maintain medical records and health information systems at a federal correctional institution in Cumberland, Maryland.

<h2>Position Overview</h2>CLFC Healthcare & Communications is seeking a Health Information Management Specialist to maintain medical records and health information systems at a federal correctional institution in Cumberland, Maryland. You will manage inmate health records, process ROI requests, and support clinical coding and compliance reporting.<h2>Key Responsibilities</h2><ul><li>Maintain and secure inmate health records per BOP policies</li><li>Process release of information requests per HIPAA and BOP regulations</li><li>Audit medical records for completeness and compliance</li><li>Assign ICD-10 and CPT codes</li><li>Compile healthcare utilization and quality metric reports</li><li>Coordinate medical record transfers between facilities</li><li>Support ACA/NCCHC accreditation documentation</li><li>Train staff on documentation requirements</li></ul><h2>Required Qualifications</h2><ul><li>Associate degree in HIM or related field</li><li>RHIT or RHIA certification preferred</li><li>EHR proficiency</li><li>HIPAA knowledge</li><li>U.S. citizenship required</li><li>Ability to pass federal background investigation</li></ul><h2>Preferred Qualifications</h2><ul><li>Federal or correctional HIM experience</li><li>CCS or CPC coding certification</li></ul><h2>Compensation and Benefits</h2><ul><li>Salary: $50,000 - $65,000 annually</li><li>Comprehensive health, dental, and vision insurance</li><li>Paid time off, holiday pay</li></ul><h2>About CLFC Healthcare & Communications</h2>CLFC Healthcare & Communications provides healthcare staffing and language access services to federal, state, and local government agencies nationwide. With 500+ healthcare professionals and 200+ interpreters, CLFC delivers reliable workforce solutions. Equal Opportunity Employer.

CLFC Healthcare and Communications

Health Information Management Specialist - Federal Correctional Institution, Cumberland MD

Background Investigation

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Clinical Support

Current Procedural Terminology (CPT)

Dental Insurance

HIPAA (Health Insurance Portability and Accountability Act)

Health Information Management

Healthcare

Healthcare Quality

ICD-10

Information Technology & Information Systems

Local Government

Medical Coding

Medical Record System

Medical Records

Quality Metrics

Record Keeping

Records Management

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Regulations

Return on Investment (ROI)

State Government

United States Citizen

Vision Plan

BreezyHR

High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR; Completed Medical Assistant (MA) degree OR; Associate Degree. Responsible for accurate and timely interviewing of patients and/or relative in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Receives physician and patient communications to schedule patients and manages the registration process. Responsible for accurate and timely interviewing of patients and/or relative in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process. MINIMUM QUALIFICATIONS:EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE:1. High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR; Completed Medical Assistant (MA) degree OR; Associate Degree. CORE DUTIES AND RESPONSIBILITIES:The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an exhaustive list of all responsibilities and duties. Other duties may be assigned. 1. May be scheduled to work various shifts based on departmental and patient needs. 2. Schedules outpatient procedures via telephone with patients and offices in a courteous, professional manner. 3. Coordinates multiple procedures patients have to ensure they are scheduled on the same day and within an appropriate time frame. 4. Provide patients and offices with accurate instructions regarding the schedule procedure (i.e., NPO, arrival time, where to arrive, etc.). 5. Check order documents for completeness. Validate orders against scheduled services. 6. Clearly documents activities and actions take on accounts, which include but not limited to, authorization, communication with patients, staff and other departments. 7. Maintains scheduling and registration accuracy threshold of 95% as identified in audit processing. 8. Perform prior authorization process by performing medical review and entering authorizations into system. 9. Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested. 10. Ability to multi task and perform duties well; while under pressure; while meeting deadlines. 11. Obtains demographic/billing/insurance information from patient/family/legal guardian and correctly enters into the scheduling and registration/billing systems for service and claim processing. 12. Understand and use applicable CPT and ICD-9 codes. 13. Verify insurance; validate pre-cert/pre-auth information after completion of insurance verification and record results in system. Preforms other insurance related functions as required or necessary. 14. Completes Medicare Secondary Payer forms, where applicable. Completes medical necessity screening. Verify medical necessity for applicable payer and service. 15. Cancel or reschedule patients in accordance with hospital workflows. 16. Exercises proper stewardship through the appropriate us of supplies, equipment, and time. 17. Follows hospital, state and federal guidelines for ensuring safe environment for workers, patients and public. Ensures compliance by staff to hospital, governmental and insurance regulations. 18. Actively participates in in-services, staff meetings, continuing education courses, hospital wide committees and other meetings as needed or required. 19. Participates in the processes to assess and improve the services provided and compliance with regulatory requirements. Reports results assessment and improvement processes to the appropriate administrative level. 20. Performs other duties as assigned which support the mission and values of the organization. Willingly accepts assignments within scope of practice, skill set and level of competence. PHYSICAL REQUIREMENTS:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must meet Department of Labor's MEDIUM duty standard (MEDIUM WORK- exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly). 2. Able to bend, stoop, reach and be capable of normal rotation, standing and walking for an 8-10 hour shift. WORKING ENVIRONMENT:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. May be required to travel between facilities/buildings. SKILLS AND ABILITIES:1. Strong communication skills. Working knowledge of office equipment and computers. 2. Excellent customer service and telephone etiquette. Must demonstrate the ability to use tact and diplomacy in dealing with other. 3. Use a computer keyboard, monitor and mouse. Answer telephones and transcribe messages. Communicate verbally, written and electronically with healthcare personnel, families and patients. 4. Working knowledge of healthcare insurance plans. 5. Working knowledge of hospital clinical departments and service protocols. 6. General knowledge of hospital payment plan guideline. 7. General knowledge of healthcare coding practices. 8. General knowledge of hospital clinical departments and services protocols. 9. Experience and knowledge in admissions, registration, and insurance verification. Additional Job Description:Scheduled Weekly Hours:40 Shift: Exempt/Non-Exempt:United States of America (Non-Exempt) Company:PVH Potomac Valley Hospital Cost Center:550 PVH Scheduling Call Center Address:100 Pin Oak Lane Keyser West Virginia Equal Opportunity EmployerWest Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Potomac Valley Hospital

Pre-Authorization Scheduling Coordinator

Billing

Call Centers

Claims Processing

Communication Skills

Customer Support/Service

Demographics

Government Regulations

Health Insurance

Hospital

ICD-9

Insurance

Insurance Regulations

Keyboards

Legal

Maintain Compliance

Medical Assistance

Medical Billing

Multitasking

Office Equipment

Organizational Skills

Outpatient Care

Physical Demands

Process Management

Regulatory Compliance

Regulatory Reports

Regulatory Requirements

Stewardship

Telephone Skills

Time Management

Willing to Travel

IRecruitee

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Receives physician and patient communications to schedule patients and manages the registration process. Responsible for accurate and timely interviewing of patients and/or relative in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 1. High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR; Completed Medical Assistant (MA) degree OR; Associate Degree. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an exhaustive list of all responsibilities and duties. Other duties may be assigned. 1. May be scheduled to work various shifts based on departmental and patient needs. 2. Schedules outpatient procedures via telephone with patients and offices in a courteous, professional manner. 3. Coordinates multiple procedures patients have to ensure they are scheduled on the same day and within an appropriate time frame. 4. Provide patients and offices with accurate instructions regarding the schedule procedure (i.e., NPO, arrival time, where to arrive, etc.). 5. Check order documents for completeness. Validate orders against scheduled services. 6. Clearly documents activities and actions take on accounts, which include but not limited to, authorization, communication with patients, staff and other departments. 7. Maintains scheduling and registration accuracy threshold of 95% as identified in audit processing. 8. Perform prior authorization process by performing medical review and entering authorizations into system. 9. Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested. 10. Ability to multi task and perform duties well; while under pressure; while meeting deadlines. 11. Obtains demographic/billing/insurance information from patient/family/legal guardian and correctly enters into the scheduling and registration/billing systems for service and claim processing. 12. Understand and use applicable CPT and ICD-9 codes. 13. Verify insurance; validate pre-cert/pre-auth information after completion of insurance verification and record results in system. Preforms other insurance related functions as required or necessary. 14. Completes Medicare Secondary Payer forms, where applicable. Completes medical necessity screening. Verify medical necessity for applicable payer and service. 15. Cancel or reschedule patients in accordance with hospital workflows. 16. Exercises proper stewardship through the appropriate us of supplies, equipment, and time. 17. Follows hospital, state and federal guidelines for ensuring safe environment for workers, patients and public. Ensures compliance by staff to hospital, governmental and insurance regulations. 18. Actively participates in in-services, staff meetings, continuing education courses, hospital wide committees and other meetings as needed or required. 19. Participates in the processes to assess and improve the services provided and compliance with regulatory requirements. Reports results assessment and improvement processes to the appropriate administrative level. 20. Performs other duties as assigned which support the mission and values of the organization. Willingly accepts assignments within scope of practice, skill set and level of competence. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must meet Department of Labor's MEDIUM duty standard (MEDIUM WORK- exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly). 2. Able to bend, stoop, reach and be capable of normal rotation, standing and walking for an 8-10 hour shift. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. May be required to travel between facilities/buildings. SKILLS AND ABILITIES: 1. Strong communication skills. Working knowledge of office equipment and computers. 2. Excellent customer service and telephone etiquette. Must demonstrate the ability to use tact and diplomacy in dealing with other. 3. Use a computer keyboard, monitor and mouse. Answer telephones and transcribe messages. Communicate verbally, written and electronically with healthcare personnel, families and patients. 4. Working knowledge of healthcare insurance plans. 5. Working knowledge of hospital clinical departments and service protocols. 6. General knowledge of hospital payment plan guideline. 7. General knowledge of healthcare coding practices. 8. General knowledge of hospital clinical departments and services protocols. 9. Experience and knowledge in admissions, registration, and insurance verification. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: PVH Potomac Valley Hospital Cost Center: 550 PVH Scheduling Call Center Address: 100 Pin Oak Lane Keyser West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

WVU Medicine

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Health Information Management Specialist - Federal Correctional Institution, Cumberland MDCLFC Healthcare and Communications

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Pre-Authorization Scheduling CoordinatorWVU Medicine

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