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Job Summary:

Manage daily operations of home care administrative services including Medical Records, Reception and Payroll. Responsible for daily workflow adjustments to maintain smooth operations, develop departmental goals and implement and monitor performance improvement measures while ensuring compliance with regulatory guidelines, policies and procedures. Provide ongoing communication of pertinent issues.

Position Responsibilities:

Manage daily operations of Medical Records. Preserve the integrity of the legal health record and ensures adherence to all regulatory guidelines, policies and procedures. Ensure disclosure of patient information to appropriate parties, release of information in accordance with applicable guidelines and response to subpoenas and legal requests are completed in a timely manner. Oversight of medical record coding and clinical documentation improvement.  Perform periodic quality audits and reviews.

Manage department operations to ensure appropriate billing of services.  Oversight of daily activities related to insurance verification, managed care authorizations, etc.  Manage orders tracking of providers and implement process improvements to ensure timely signing of physician orders to facilitate the home health billing process.

Monitor status of “Discharge Not Billed” work queues and take appropriate action to resolve issues. Publish performance metrics for each division.  Collaborate with Department peers for issue resolution in a timely manner.

Management of front desk personnel and activities to facilitate responsive and timely direction to incoming customers.

Provide audit reports to support Home Health department leadership for API/payroll processing and performance improvement.  

Evaluate employee performance, administer agency work rules and follow process for disciplinary actions. Identify staff educational needs and provide training to address knowledge deficits.

Position Qualifications Required: