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Health Information Coordinator

Company: Ohio Living
Location: Willoughby
Posted on: June 12, 2021

Job Description:

OVERVIEW

The Health Information Coordinator supports the clinical home health and/or hospice teams to utilize a collaborative process to review, plan, monitor, and evaluate the options and services required to meet home health and/or hospice patients' health needs while coordinating available resources to promote quality and cost-effective outcomes through ongoing audits of medical records and clinical documentation to continually improve data quality in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

Schedule: 8am-5pm - Rotating 10am-7pm shift & weekend/on-call

Shift Differential after 2:30pm

RESPONSIBILITIES

Operations Management and Administration

  • Collaborates with discharge planners and marketing team to manage processes, protocols, and timeliness of all referrals to meet the comprehensive needs of the patients.
  • Interacts with patients, physician offices and staff during phone calls, triages priorities, and schedules SOC/ROC visits, as needed. Identifies and interprets clinical referral documents to assist with site coordination of clinical care priorities, i.e. same day open cases, IV infusion services, wound care, etc. to assure timely and admissions.
  • Monitors for home health, hospice and private duty referrals and enters referrals into HCHB utilizing an electronic medical records platform. Attaches all referral documents in HCHB and processes referral workflow.
  • Monitors and follows up continuously on all pending referrals, missing documents, F2F, diagnosis, or orders.
  • Contacts patients to obtain necessary personal information to complete the referral i.e. social security number, insurance information, etc.
  • Completes all referrals by accessing the hospital electronic health record system to obtain relevant information and documentation, i.e. insurances, history and physical, face to face, etc.
  • Enters data to initiate opening new patient files in the EMR and labels and attaches all clinical documents into EMR for use by clinicians, office staff, authorizations, etc.
  • Reviews payor eligibility and authorization notes in HCHB prior to scheduling SOC.
  • Works with schedulers and team to coordinate all needs of staff and patients and assists with scheduling for timely initiation of care.
  • Assists with contacting new referrals and schedules new patients with priority that are high risk, bundle patients or same day admissions. Notifies therapy when necessary.
  • Assists the marketing team in assuring a provider available to follow for home health orders.

Quality and Compliance Management

  • Reviews referral information to identify medical diagnoses and primary ICD-10 codes that align with rationale for skilled care needs.
  • Identifies the appropriate physician, physician assistant or nurse practitioner who will care for the patient and accurately enters into HCHB in compliance with payor requirements and HIPAA standards.
  • Collaborates with site leadership to assure all care needs of referrals can effectively be met.
  • Reviews and assures referral documentation meets face to face standards.
  • Identifies the need for start of care clinician to assess patient for palliative care or remote patient monitoring program.
  • Identifies the timing needed for SOC/ROC visits for IV's, enteral feedings, injections or specialized wound care, and communicates visit needs with scheduling.
  • Audits and processes workflow and maintains current and accurate medical records and clinical documentation to allow patients to be scheduled.
  • Reviews entire referral (i.e. H & P, nursing notes, etc.) and places coordination note in "POINT CARE" visit alert.
  • Serves as a resource to the clinical team for questions and concerns regarding patient care issues, federal and state regulations, and professional standards of practice in collaboration with the Administrator and/or Clinical Supervisors.
  • Informs the Executive Director or designee immediately of any critical issues in accordance with notification policy.
  • Maintains knowledge of requirements of regulatory agencies, accrediting bodies, and third party payers.
  • Collaborates with the home health or hospice clinical team to operate within the allocated resources and budgeted goals, efficiencies, and productivity standards.
  • Fosters a positive work environment that attracts, retains, and motivates employees.
  • Responds timely and thoughtfully to questions, requests, and work product from departmental staff that has been provided for review and comment.
  • Answers all phone inquiries from consumers and referral sources, along with making outbound calls to previous patients, to assist them in accessing appropriate home health and hospice services and benefits and ultimately retaining them as a patient.
  • Establishes and maintains good working relationships with referral sources, patients, and location staff.
  • Participates in on-call rotation, as needed.

All other duties as assigned.

QUALIFICATIONS

Education

  • High school diploma or equivalent required.
  • Associates degree or higher in medical records related field preferred.
  • In absence of degree, three years experience within medical office required.
  • Two years experience in medical records in health care or long-term care facility.

Experience

  • One year experience in a home health, hospice, or long-term care healthcare setting required.
  • Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
  • Proficiency with electronic medical records (EMR) preferred.

Other Requirements

  • Must be able to read, write, speak, and understand the English language.
  • Must possess a valid driver's license and acceptable driving record. Must be insurable under professional liability and crime coverage policies as specified by insurance carrier underwriting standards.

LOCATION INFORMATION

Ohio Living Home Health and Hospice in Greater Cleveland is a premier provider in Ashtabula, Cuyahoga, Geauga, Lake and Portage counties. Services include hospice and palliative care, private-duty home care, long-term nursing care, physical/speech/occupational therapies, home health aides, social work services, medication administration, wound care management, IV therapy and more. Most importantly, we're a company that:

  • chooses to operate as a faith-based, not-for-profit organization
  • makes its mission the heart of our organization
  • has a reputation for consistently exceeding the needs and expectations of those we serve
  • provides an engaging, team-oriented workplace dedicated to career, family and faith
  • commits to recognizing our employees for a job well done

We're looking for people who:

  • have a passion for helping people, solving problems and contributing to a positive work environment
  • are excited about bringing their personal standards and ideals to work each day
  • understand that HOW you do your job is just as important as WHAT you do in your job

Why work at Ohio Living Home Health & Hospice?

Depending on an employee's status, they may benefit from:

  • competitive wages
  • medical, dental, and vision insurance
  • 403b retirement savings
  • paid time off including your birthday
  • training, continuing education, and education assistance
  • pay advances up to $500
  • the latest technology
  • mileage reimbursement
  • unlimited career opportunities
  • and much more!

Who is Ohio Living?

Headquartered in Columbus, Ohio Living is one of the nation's largest not-for-profit, multi-site senior living organizations. Since its founding in 1922, Ohio Living has defined the highest standards of quality of life for adults through its 12 life plan communities and Ohio Living Home Health & Hospice in 50 Ohio counties.

Our mission is to provide adults with caring and quality services toward the enhancement of

physical, mental and spiritual well-being consistent with the Christian Gospel.

Our Values:

Care Integrity Customer Service

Innovation Financial Stewardship Leadership

Keywords: Ohio Living, Cleveland , Health Information Coordinator, Other , Willoughby, Ohio

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