Med-Metrix
Case Management Coordinator - Onsite - PT 25 hours
Med-Metrix, Brooklyn, New York, United States, 11210
Case Management Coordinator - Onsite - PT 25 hours
Apply to the Case Management Coordinator - Onsite - PT 25 hours role at Med-Metrix.
Job Purpose The Case Management Coordinator supports the operations within required timeframes and collaborates well with all team members in alignment with the organization’s mission and goals. The Case Management Coordinator will perform audits, consolidations, and standardizations of Charge Data Masters (CDM/CGT) and Revenue Integrity workflows. In addition, the Case Management Coordinator will work to improve charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and report generation.
Duties & Responsibilities
Communicate information thoroughly and compose and distribute daily, weekly, and monthly reporting as needed
Communicate appropriate and accurate information to the supervisor/director of the Case Management department
Input data into the computer systems accurately relevant to all Case Management activities, Utilization Review and other items managed by the Case Management department
Maintain electronic and manual files of all Case Management activities, process improvement initiatives and results
Forward information to other departments as indicated
Utilize various systems to track and report on departmental activity
Coordinate and provide reports as requested
Manage and review accounts for accuracy and completeness without compromising quality in entering area specific information
Adhere to required timeframes and deadlines for reporting and work requirements
Effectively identify and communicate barriers preventing accurate data entry and report generation to leadership
Manage the Case Management tracking system(s) and reporting functions
Request medical records for retrospective review from Health Information Management
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
High School diploma or equivalent required
Managed Care experience required
2 years of experience with databases and other spreadsheet reporting software required
Experience with Case Management software desired (CarePort/Wellsky/MCG/etc)
Advanced level of Excel proficiency and experience in financial modeling and analysis
Advanced Microsoft PowerPoint and Word skills
Ability to complete tasks with a high degree of accuracy
Strong analytical and problem-solving abilities, with a data-driven approach to decision-making and a focus on continuous improvement
Ability to adapt to a fast-paced and changing environment, managing multiple priorities and deadlines effectively
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills, and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Occasional travel may be required
May need to work outside of normal business hours on occasion
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Hospitals and Health Care
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
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Job Purpose The Case Management Coordinator supports the operations within required timeframes and collaborates well with all team members in alignment with the organization’s mission and goals. The Case Management Coordinator will perform audits, consolidations, and standardizations of Charge Data Masters (CDM/CGT) and Revenue Integrity workflows. In addition, the Case Management Coordinator will work to improve charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and report generation.
Duties & Responsibilities
Communicate information thoroughly and compose and distribute daily, weekly, and monthly reporting as needed
Communicate appropriate and accurate information to the supervisor/director of the Case Management department
Input data into the computer systems accurately relevant to all Case Management activities, Utilization Review and other items managed by the Case Management department
Maintain electronic and manual files of all Case Management activities, process improvement initiatives and results
Forward information to other departments as indicated
Utilize various systems to track and report on departmental activity
Coordinate and provide reports as requested
Manage and review accounts for accuracy and completeness without compromising quality in entering area specific information
Adhere to required timeframes and deadlines for reporting and work requirements
Effectively identify and communicate barriers preventing accurate data entry and report generation to leadership
Manage the Case Management tracking system(s) and reporting functions
Request medical records for retrospective review from Health Information Management
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
High School diploma or equivalent required
Managed Care experience required
2 years of experience with databases and other spreadsheet reporting software required
Experience with Case Management software desired (CarePort/Wellsky/MCG/etc)
Advanced level of Excel proficiency and experience in financial modeling and analysis
Advanced Microsoft PowerPoint and Word skills
Ability to complete tasks with a high degree of accuracy
Strong analytical and problem-solving abilities, with a data-driven approach to decision-making and a focus on continuous improvement
Ability to adapt to a fast-paced and changing environment, managing multiple priorities and deadlines effectively
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills, and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Occasional travel may be required
May need to work outside of normal business hours on occasion
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Hospitals and Health Care
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
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