Jobs › Companies › Tufts Medicine › HIM Audit Coordinator

Sobre esta vaga de HIM Audit Coordinator na Tufts Medicine

Tufts Medicine · Híbrido · Lowell General Hospital

Hours: 40 hours per week; M-F from 8:00 AM to 4:30 PM

Location: Onsite at Lowell General Hospital - Main Campus. Hybrid schedule may be available at the discretion of your manager after training.


Job Profile Summary

​This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.  In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.  An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands on” environment.  The majority of time is spent in the delivery of support services or activities, typically under supervision.  An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.  Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or deviation from standard procedures, and communicates information that requires some explanation or interpretation.


Job Overview

The position is responsible for processing and managing medical record requests from payors, external auditors, and review agencies—including RAC, Blue Cross, and Permedion. Working under the general supervision of the HIM Manager of ROI and Document Management, this role ensures that all requests are handled accurately, efficiently, and in full compliance with HIPAA and all applicable facility, state, and federal regulations.

The position uses Epic’s Release of Information (ROI) functionality to log, track, and process audit and review requests received via fax (Vyne/Trace), mail, or email. Based on chart type and request category, the coordinator determines whether requests should be routed to Sharecare or processed internally. For requests handled by HIM, the Coordinator retrieves required documentation from Epic and, when necessary, from third‑party EMRs such as Aria, Mosaic, or Restorix.


Job Description

Minimum Qualifications:

1. High school diploma or equivalent

2. Two (2) years of office-related experience.


Preferred Qualifications:

1. Experience in EPIC EMR system

2. Experience performing Release of Information functions

2. Experience using digital imaging/scanning software and equipment


Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned.


1. Monitors, tracks, and completes requests for medical records from external auditors and reviewers; including, but not limited to RAC, Blue Cross, Permedion audits, etc.

2. Logs all requests into the EPIC/ ROI system, following established procedures, and updates the request upon completion.

3.  Communicates with external auditors to ensure timely submission of required documentation.

4.  Retrieves and compiles all required paper and electronic documents, including those needed from Ancillary departments. Export EMR content to a PDF and submit via secure record portals, secure fax/email, or on rare instances, will upload the PDF to an encrypted CD and send via FedEx

5. Prioritizes, organizes, and processes audits requests, coordinating with the Business Office (PFS) staff to identify documentation needed to substantiate claims.

6.  Assists patients with medical record requests when needed, ensuring accurate guidance and adherence to HIPAA and privacy requirements.

7. Appropriately handles all records, in accordance with confidentiality policies and HIPAA requirements.

8. Performs quality review of documentation prior to submission of medical records -- ensuring completeness and accuracy before releasing.

9. Escalates compliance concerns to HIM leadership.

10. Maintains collaborative working relationships with peers, colleagues, and internal departments to

support a positive and productive work environment.

11. Retrieves and distribute interdepartmental correspondence and mail to appropriate personnel.

12. Performs administrative tasks and other related duties as assigned. 



Physical Requirements:

1. Work is performed in a professional office environment with standard office equipment such as computers, phones, photocopiers, and filing cabinets.

2. Primarily a sedentary role, which involves sitting most of the time, but does involve movements such as walking, standing, reaching, ascending / descending stairs and operate office equipment. 

3. Frequently required to speak, hear, communicate and exchange information.

4. Able to see and read computers displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols.

5. Occasionally lift and/or move up to 25 pounds. 


Skills & Abilities:

1. Proficiency with technology, office equipment, and the ability to learn various systems and software

2. Working knowledge of Microsoft office products (Outlook, Word, PowerPoint, Excel)

3. Strong computer literacy, including proficiency with word processing programs and spreadsheet applications and the ability to learn new systems.

4. Excellent customer service skills including strong interpersonal and telephone communication.  

5. High degree of tact and professionalism when interacting with payors, internal staff from various departments, and internal HIM staff.

6. Accurate data entry skills with strong attention to detail.

7. Excellent organizational skills with the ability to prioritize tasks and adapt to changing work assignments.

8. Familiarity with medical terminology and basic coding concepts to understand documentation requirements.

9. Strong written communication skills for interacting with auditors and internal stakeholders.

10. Ability to work independently, exercise sound judgement, and manage time effectively.

11. Knowledge of HIPAA and relevant state and federal privacy regulations

 

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.

Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.

 

Pay Range:

 

$21.53 - $26.91

based on full-time equivalent

Pronto para se candidatar à Tufts Medicine?
Candidatar-se à Tufts Medicine

Sobre a Tufts Medicine

Tufts Medicine is a leading integrated health system bringing together the best of academic and community health care to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Healthcare, an expansive home care network and a large clinically integrated physician network, Tufts Medicine has more than 15,000 dedicated employees and caregivers. The health system came together in 2014 to leverage the experience of its member organizations and integrate their missions to together transform the ways that consumers engage with and experience their care.

Ver todas as vagas na Tufts Medicine →

Vagas semelhantes

TM
Clinical Pharmacist - Ambulatory Float
Tufts Medicine
⚡ Candidate-se cedo Tufts Medical Center Presencial $124,800–$155,933
● Nova 👁 Vista ✓ Candidatada há 1d
TM
Public Safety Officer I - Full-Time, Night Shift
Tufts Medicine
⚡ Candidate-se cedo Lowell General Hospital Presencial $44,782–$55,973
● Nova 👁 Vista ✓ Candidatada há 1d
TM
Inpatient Psychiatrist - Tufts Medicine Behavioral Health Hospital
Tufts Medicine
⚡ Candidate-se cedo Tufts Medicine Behavioral Heal... Presencial $275,000–$324,000
● Nova 👁 Vista ✓ Candidatada há 1d
TM
Neurosurgery RN, Outpatient
Tufts Medicine
⚡ Candidate-se cedo Tufts Medical Center Presencial $89,461–$147,576
● Nova 👁 Vista ✓ Candidatada há 1d
TM
CRNA
Tufts Medicine
⚡ Candidate-se cedo Tufts Medical Center Presencial $267,800–$309,000
● Nova 👁 Vista ✓ Candidatada há 2d
TM
Director, Practice Operations Framingham and Norfolk
Tufts Medicine
⚡ Candidate-se cedo Tufts Medical Center - Framing... Híbrido $111,176–$141,757
● Nova 👁 Vista ✓ Candidatada há 2d
TM
Clinical Administrative Coordinator - Rheumatology, New England Neurological Associates
Tufts Medicine
⚡ Candidate-se cedo NENA Chelmsford Presencial $39,125–$48,901
● Nova 👁 Vista ✓ Candidatada há 2d
TM
Director, Practice Operations Quincy and Middleton
Tufts Medicine
⚡ Candidate-se cedo Tufts Medical Center Primary C... Híbrido $111,176–$141,757
● Nova 👁 Vista ✓ Candidatada há 2d
TM
Registered Nurse, RN - Post-Anesthesia Care Unit (PACU)
Tufts Medicine
⚡ Candidate-se cedo Lowell General Hospital Presencial $78,000–$156,666
● Nova 👁 Vista ✓ Candidatada há 3d

Cadastre-se para receber sugestões sob medida com base nas vagas que você abre e nas buscas que você salva.

Mais vagas na Tufts Medicine

Ver todas as vagas na Tufts Medicine →

Candidatar-se agora
🤖

Opa — calma aí

A JobsRadar foi feita para pessoas de verdade passando por um momento difícil na busca por emprego — não para requisições automatizadas. Você está clicando rápido demais e agora está temporariamente bloqueado.

Volte mais tarde. Se você está mesmo procurando emprego, estamos com você — apenas aja como um ser humano.

Catch your next role the second it’s posted.

Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

Create free account

Free forever · takes 30 seconds · already have one?

Ganhe vantagem na sua busca por emprego.

Entre no nosso canal do Telegram para o que ajuda você a conseguir a vaga — referências salariais, o pulso semanal do mercado e avisos de novos recursos. Sem spam, só sinal.

Entre no canal — é grátis