Member Records Administrator maintains the membership database for organization. Processes and inputs member enrollments and renewals to database. Being a Member Records Administrator performs periodic audits to ensure member records are up-to-date coded correctly. Resolves any member issues with enrollment. Additionally, Member Records Administrator designs and generates routine and ad-hoc reports for management review. Coordinates maintenance and upgrades to database software. May require a bachelor's degree or equivalent. Typically reports to a manager or head of a unit/department. The Member Records Administrator work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Member Records Administrator typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Reporting to the Director of Health Information Management, this
position is responsible for facilitating concurrent documentation of the
medical record to achieve accurate inpatient coding and legitimate DRG
assignment. Provide clinically based concurrent and retrospective review of
inpatient medical records to evaluate the utilization and documentation of
acute care services. Includes facilitation of appropriate physician documentation
of care to accurately reflect patient severity of illness and risk of
mortality. This position plays a significant role in reporting quality of care
outcomes and in obtaining accurate and compliant reimbursement for acute care
services. 2.
CCDS or CDIS certification preferred upon hire or transfer.
Successful completion of CCDS or CDIP certificate
examination within three years and nine months from date of hire. 3. CDS
I requires current
valid California LVN license.
QUALIFICATIONS:
1. 3-5 years clinical experience in an acute care setting preferred. Case
Management and/or coding experience a plus.
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