HCA, Hospital Corporation of America HIM Specialist for Presbyterian St. Luke's Medical Center - Full Time in Denver, Colorado
HIM Specialist – Presbyterian St. Luke’s Medical Center – Full Time
/ Parallon // is an affiliate of Hospital Corporation of America (HCA Holdings, Inc.) and is a leading provider of healthcare business and operational services. Parallon supports healthcare providers in the areas of revenue cycle (billing, collections, and denial management), technology, patient registration, insurance verification, and health information management. / / / The HIM Specialist is primarily responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, the resolution of unbilled accounts, and the processing of physician suspensions. In addition, the HIM Specialist serves as the primary point of contact when the HIM Director and/or HIM Coordinator is unavailable. Primary duties noted below should encompass more than 50% of the workday for this position title to be used.
Duties (included but not limited to): * Resolves accounts in one or more assigned HPF/MPF work queues (e.g. Cancelled Accounts, Unknown Documents, Facility HIM, Workflow Trigger and Coding Pend for Queues), which requires research and analysis to determine the appropriate action to be taken.
Resolves unbilled accounts which is critical to revenue cycle management; may spend significant time researching and analyzing while utilizing Meditech and HPF/MPF; determining which issues belong to which department, working with the appropriate department, following up with the department or physician to clear the accounts, and ensuring the accounts move through the system.
Assists in resolving accounts in the eRequest queue, which includes, but is not limited to, payment window accounts, requests for sterilization forms and pre ‐ certifications.
May coordinate or be instrumental in the physician suspension process, evaluating if documentation or circumstances warrant a physician be put on suspension and creating the list of recommended suspensions for approval. This requires understanding the facility’s guidelines and requirements necessary to trigger suspension. May oversee other clerks in completing more routine duties related to printing and stuffing incomplete record status and suspension letters and in making physician calls.
Provides support to the birth certificate process, if L&D services are available, which requires interacting with parents, using diplomacy and sensitivity, to obtain accurate information required by the state for birth certificates and acknowledgment of paternity (AOP) forms. Some states require certification to perform the duties of a birth certificate clerk.
Assumes responsibility for the HIM department when HIM Director is unavailable, with the ability to handle the majority of issues and inquiries that may arise.
Assists the HIM Director in gathering statistics for HSC reporting, to include documentation for timeliness of History and Physicals and Operative Reports.
Proficient in addressing physician questions, issues and any training needed for the HPF/MPF system and providing training to any external reviewers or HPF/MPF users.
Meets or exceeds established productivity and quality standards. EDUCATION
High school graduate or equivalent required
Two years’ experience in an office or hospital environment preferred
Previous handling of patient health information and/or medical records is strongly preferred
/ We offer a convenient location, free parking, training support, competitive compensation, and excellent benefits that include several insurance packages to choose from, paid time off for vacation, sick leave and holidays, company matching 401K. /
Parallon is an Equal Opportunity Employer (EOE), minority/Female/Veteran/Disabled, offering a great work environment, challenging career opportunities, and competitive compensation.
Title: HIM Specialist for Presbyterian St. Luke's Medical Center - Full Time
Location: Colorado-Denver-Presbyterian/St. Luke%27s Medical Center
Requisition ID: 25771-155489