Chart Retrieval Specialist job vacancy in Blue Cross and Blue Shield of Kansas – Jobs in Kansas

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Job Details
Company Name : Blue Cross and Blue Shield of Kansas
Company Location : Topeka, KS
Job Position : Chart Retrieval Specialist
Job Category : Jobs in Kansas

Job Description :

Under the direction of the Supervisor, Revenue Management Coding and Outreach, this position will be responsible for requesting and processing provider medical records for a variety of Risk Adjustment and Quality improvement projects and audits. This position will be responsible for tracking the progress of outstanding requests, researching, and answering provider questions, and sending records to multiple vendors and auditors. This position will also be responsible for reviewing claims and enrollment information to support risk adjustment data submission processes. This position is in a fast-paced, developing area.

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Essential Functions
  • Request medical records from our providers for a variety of Risk Adjustment and Quality improvement projects and audits using an internally developed medical chart tracking application
  • Manually generate request letters and supplemental data files for providers that have special medical record request requirements
  • Download records from provider Electronic Medical Record systems
  • Log incoming medical records via fax, mail, email, or electronic medical record access in the medical chart tracking application.
  • Develop and maintain knowledge on what is needed in medical records for Risk Adjustment and Quality record requests
  • Review medical records for required information and discard any unnecessary information
  • Contact provider offices with a high degree of professionalism and confidence to communicate expectations of charts required, attestations, etc.
  • Research provider submitted claims though Imaging resources to provide additional information on medical record requests when needed
  • Package and send medical records to internal coding team, vendors, and auditors
  • Assist with risk adjustment data submissions by reviewing and editing enrollment and claims records pended for manual review
  • Must safeguard protected health information as required by HIPAA Privacy regulations.
  • Work is fast paced with pressure to prioritize and meet deadlines. Work requires a high level of concentration to ensure accuracy of information. Will be required to work on a PC up to 90% of the time. Must possess visual acuity sufficient to review detailed submitted claims as well as electronic and hand-written medical charts. Lifting boxes of medical records of up to 20 lbs. May require non-standard working hours such as but not limited to weekends.
  • High school degree or equivalent is required.
  • Medical office experience preferred.
  • Requires close attention to detail, strong grammar and reading comprehension skills, along with strong critical thinking and problem-solving skills.
  • Ability to work independently with minimum supervision, excellent reliability, and demonstrated ability to work timely and effectively under strict deadlines.
  • Strong computer skills in data entry, Microsoft Office products, and Adobe Pro.
  • Ability to develop positive relationships with internal and external customers as well as co-workers.
  • Ability to multitask, prioritize and manage time efficiently.
  • Excellent verbal and written communication skills.
  • Ability to accept ownership of job responsibilities in a self-directed team environment.
BCBSKS Non-Exempt 13
Salary starting at $24.81
Salary determined based on education, skills and experience
Posting Close Date

November 11, 2022

Pay Rate Type


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