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Humana Business Support Coordinator 1 in Indianapolis, Indiana

Description

The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records received into the Medical Record Review Department.

Responsibilities

  • Analyze content of medical records to ensure compliance with TRICARE contractual requirements for timeliness and documentation.

  • Request medical records, enter information into database, and send follow-up letter to facility if records not received. Open, date stamp mail and distribute to appropriate department associate.

  • Prepare, scan, and perform review of scanned medical records to ensure that a quality reproduction has been made.

  • Distribute the medical records appropriately through the Department according to government contract requirement or appropriate requester including to the TRICARE Quality Monitoring Committee (TQMC).

  • Complete payment voucher and send to finance for processing; maintain file by hospital and copy service.

  • File medical records according to government contract requirements.

Required Qualifications

  • 1 year of medical records analysis experience

  • High School diploma

  • Excellent written and oral skill

  • Computer skills/experience

  • Must be able to lift at least 45 lb boxes

  • Familiarity with standards of practice for medical record documentation

  • Attention to detail and deadline driven

  • Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

  • A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

  • Microsoft Access and Excel Applications

Additional Information

Scheduled Weekly Hours

40

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