Job Description

Awarded the Best Place to Work 2021, Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

PURPOSE OF THE JOB

The Record Retrieval Coordinator supports the organization's need to obtain and audit medical records and similar documents to meet regulatory standards and business needs, such as risk adjustment, HEDIS, and performance measure calculation.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

1. Required Work Experience

· 1 year in any of the following: physician office support staff, HIM department, electronic medical records, Release of Information or documented experience with computer software and hardware

2. Required Education

· High-School Diploma or GED in field of study

3. Required Licenses

· Valid Arizona Driver License, with an acceptable driving record

4. Required Certifications

· N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

· N/A

2. Preferred Education

· N/A

3. Preferred Licenses

· N/A

4. Preferred Certifications

· CCA or CPC coding certification

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

· Schedule, travel, and work at physician offices within the network to retrieve medical records for all members paneled

· Request medical records from physician offices/hospitals by fax or mail

· Successful processing of faxed or mailed medical records and follow up with physician offices regarding records not received on time

· Report daily productivity and retrieval numbers to supervisor. Identify reasons records were not retrieved

· Meet a goal of retrieving 95% of records per project with 85% accuracy (includes retrieving claims screen shots from claims system, medical records from electronic medical records systems, faxes, and mail)

· Track, trend, and escalate barriers to supervisor

· Establish positive and professional relationships with care provider offices, clinics, hospitals, other clinical facilities and Medicaid Business Segment staff

· Abide by all HIPAA and associated patient confidentiality requirements. Prevent all data breaches.

· Perform all other duties as assigned

· The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements

COMPETENCIES

REQUIRED COMPETENCIES

1. Required Job Skills

· The role requires organization and delivery of screen shots and medical records per department system (i.e. using correct shared folders, correct naming conventions) in an accurate, well-organized and timely manner to allow end users (auditors, abstractors) to efficiently access needed records; convert files to usable format.

· Strong knowledge of HIPAA rules and regulations

· Comprehensive knowledge of computers and software such as Microsoft Windows, Excel, Word, PDF file creation and conversion, portable scanners

· Ability to learn basic working skills with new software in short timeframes

· Basic understanding of the contents of a medical chart/electronic medical record programs

2. Required Professional Competencies

· Ability to problem solve to complete an objective

· Strong customer service skills and techniques

· Strong oral, phone and written communication skills

· Ability to adapt to new surroundings and changing office environments

3. Required Leadership Experience and Competencies

· N/A

PREFERRED COMPETENCIES

1. Preferred Job Skills

· N/A

2. Preferred Professional Competencies

· N/A

3. Preferred Leadership Experience and Competencies

· N/A

CORPORATE RESPONSIBILITIES

Comply with BCBSAZ corporate and departmental policies and procedures, including, but not limited to Code Blue, Compliance, HIPAA, Computer Responsibility, Accreditation Standards, Attendance, Staff Qualifications and Quality Management Accountabilities.

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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