HiOps I

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

JOB DESCRIPTION:

Responsibilities:

• Daily reconciliation of Emergency Department, Urgent Care and/or Observation logs to patient charts to initiate coding and billing.
• Minimum daily chart production should be a minimum of 85-100 charts through manual pull or processing of stray and deficient charts.
• Cross trained to work at least 1 or 2 other sites.
• Utilize various methods of log and chart acquisition to include EMR, SFTP, DFS, scanning and feed sources. Properly format logs and charts into required Excel or other required formats, as necessary.
• Ensure log contains all required elements- facility name, patient name, account number, dos, MRN and CSN (where applicable) are configured into proper Excel format.
• Thorough analysis of entire chart following current departmental policy and procedures of all required documents and complete provider documentation; ensure chart has correct dos, account number and MRN which match the log; submit only required elements.
• Once chart batch is submitted via Chart Receiver, confirm receipt of charts in Kofax ensuring correct batch properties, legibility and quality documents, correct page orientation, deletion of unnecessary pages, split chart when necessary to adhere to page count max requirements.
• Accurate identification and assignment of deficient and non-bill charts ensuring these charts are not submitted until all requirements are met, proper use of only approved deficiency and non-bill reasons.
• Research and resolve all outstanding strays, EDRC Exceptions and EDRC and quality deficient charts minimum twice a week or as reports are returned from offshore. Using the Excel formatted copy of the Outstanding Report, send manager list of identified and notated charts that cannot be submitted including charts to be marked non-bill, sent back to EPF, chart remains incomplete, clarification of dos and/or facility treated or other reason requiring further research.
• Acquire, reconcile, analyze Inpatient Log and charts, and submit monthly via Kofax while maintaining the 10th of the month deadline.
• Submit all logs and charts within 3–4-day deadline from dos or facility specific deadline using Chart Portal and Chart Receiver. Ensure PDF printer is properly configured to avoid chart capture issues.
• Assist Manager with offshore audits, non-bill audits, or other projects as needed.
• Communicate with providers regarding incomplete charts by face-to-face meeting, electronically via EMR, telephone, My SCP App, or email.
• All use of email should follow SCP Health guidelines concerning encrypt requirements and use of HIPAA information.
• Meet HiOps Departmental date of service chart submission lag time goal and monthly chart deadlines.
• Accurately report daily production data into Jot Form program
• Maintain compliance with all SCP-Health Compliance policies and HIPAA guidelines at all times. Immediately report any concern to Manager or SCP-Health Compliance Team
• Ensure all SCP Health mail received at the facility is collected and sent to Dallas office weekly if HI-C onsite.
• Function as onsite SCP Health representative for the providers and hospital staff; comply with hospital policy if onsite (where applicable)
• Assist in additional duties as assigned.

Knowledge, Skills, and Abilities:

• Detail oriented, ability to organize tasks and set priorities. 
• Basic knowledge of Microsoft Office™ including Microsoft Excel™, Microsoft Word™ and Microsoft Outlook™
• Professional attitude and appearance to be able to communicate with hospital staff and providers.

EDUCATION (Required and/or Preferred):

• High school diploma
• 0-2 years of experience in Medical Records

FIELD OF STUDY:

• Health Field

WORK EXPERIENCE/QUALIFICATIONS:

• Experience in Medical Records, HIM, Healthcare Clinic or Physician Office preferred but not required.

CERTIFICATES AND LICENSES:

• n/a

WORK ENVIRONMENT AND PHYSICAL DEMANDS:

• Professional setting
• Continuous sitting
• Continuous oral & written communication and listening skills.
• Psychological stress/pressure levels are moderate to high.
• Continuous computer use
• Occasional bending, kneeling, lifting, pulling & pushing up to 10 pounds.
• Job requires an elevated level of mental awareness.

CONTACTS INSIDE AND OUTSIDE THE ORGANIZATION:

• Daily contact with Department Leadership
• Frequent contact with other Prebilling Depts
• Intermittent contact with Providers, SCP Ops teams, SCP HIT Team and hospital employees.

Pay Range:

This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.

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We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.

Visit our website for further information. https://myscpbenefits.com/

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