Medical Records Analyst

Company Mission/ Statement

Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of culturally sensitive mental health and substance abuse services.

Comprehensive Benefits Package

• Medical, Dental and Vision Insurance
• Flex Spending Account
• Health Spending Account
• Company-Paid Life Insurance
• Short Term Disability
• 401(k)
• Paid Holidays
• Paid Vacation and Sick Leave
• Employee Assistant Program
• Referral Bonus Opportunities
• Extensive Internal Training Program
  
  

Pay Scale: $16-$17/hr.

Location: Remote or any Daymark Location

Summary: Position responsible for Medical Record reviews for specified locations. Will be involved in quarterly clinical and administrative review processes. This includes processing reports/graphs and providing timely feedback/plan of corrections as indicated by the reviews. Reports quality improvement outcomes to immediate supervisor and other management and center staff when appropriate. Involved with CARF re-accreditation. Reviews monthly CPT E&M codes and reports to supervisor regarding any recommendations.

Essential Duties And Responsibilities

• Quarterly Clinical/ Administrative Reviews- Runs necessary reports to include event audit reports, assigns record reviews (clinical and admin.) for assigned centers. Compiles data, develops reports/graphs and internal plan of corrections which are accurate and timely as required by QI Manager. Follows up with appropriate center managers and supervisor regarding POC’s, obtains center minutes, provides training assistance when applicable. Prepares quarterly Medical Record Report for QI committee meeting
• Monitors changes and ensures strict compliance with all professional standards, including State, Federal, LME/MCO, CARF, Division of MH/SA/DD, Medicaid/Medicare regulations, other insurance company requirements, agency policies and procedures and HIPAA/42 CFR.
• Serves on Quality Improvement Committee, as well as Forms sub-committee. Holds semi-annual Support Supervisor/MRTL meetings, responsible for minutes. Assists with trainings (HIPAA, Medical Record Reviews), when appropriate. Informs Center Managers of any Form changes, etc.
• Apprises assigned Center Managers and others when a policy, procedure or form has been updated or newly developed.
• Assists with external audits as assigned by QI Manager
• All other duties as assigned by QI Manager
  
  

Special Attributes: Must possess a good attitude, work well with others, have a strong commitment to consumer’s care, understand office flow, understand budgeting and have knowledge of Mental Health, Social Work or Health Care Fields.

Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Highly motivated and resilient professional
• Strong negotiation skills
• Organized, detail driven, ability to multi-task
• Demonstrated ability to positively lead change and gain results
• Be familiar with the Service Records Manual, Records Retention as well as various Service Definitions.
• Demonstrated ability to understand economic, business and operational factors
• Preceptor and teaching experience helpful
• Strong critical-thinking/problem-solving skills
• Proven conflict management/resolution skills
• Highly professional ethics and standards
• Strong team player and team building skills; ability to collaborate with all levels and areas
• Ability to work well independently
• Strong presentation skills
• Proven relationship-building and excellent communication skills.
• Ability to effectively and positively influence and persuade
  
  

Education and Experience: High School diploma required. Bachelors or Masters degree in health professional or medical records preferred. Prefer minimum of one year experience in medical records or related area. Experience in Behavioral Health is a plus. Related work experience will be considered in lieu of education.