Medical Records Administrator

Job Summary

The Medical Records Administrator is a member of the compliance team and works closely with outside entities and other team members throughout the organization. The primary duties and responsibilities of the Medical Records Administrator include the management and processing of medical record and audit requests. This role is responsible for processing of records requests received, including external payor audits, processing learner release of information requests while assuring compliance with state, federal and HIPAA regulations. The Medical Records Administrator will understand and fully support the mission, vision, and value statements of Lighthouse Autism Center.

This position is accountable for:

• Medical Records Requests, which consist of:
• Medicaid/Disability Requests
• Legal Record Requests
• DHS, CPS, HHS, Records Requests
• School Requests
• Claim Processing Records Requests
• Other Provider Requests
• External Payor Audit Records Requests
• Other administrative duties as assigned

Essential Duties and Responsibilities

1. Verifies legitimacy, accuracy and authority of requests received and then processes and invoices as appropriate.
2. Abide by, adhere to, and conform to all applicable organizational, local, state, federal regulations including HIPAA regulations.
3. Processes records and audit requests received, from start to finish, assuring deadlines are met.
4. Logs all types of records, audits and other medical records requests received.

Expected Areas of Competence

• Requires excellent organizational skills and ability to pay attention to details.
• Ability to work independently.
• Ability to prioritize.
• Ability to respond effectively and meet time deadlines while managing multiple audits.
• Basic keyboarding skills.
• Demonstrated proficiency and understanding of database software including database update, maintenance, and report generation.
• Must be computer literate in Microsoft Office suite.
• Effective telephone skills.
• Strong level of confidentiality due to sensitivity of materials and information handled.

Physical Requirements

While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time. The team member is occasionally required to stand, walk, and use hands to operate a computer keyboard. The team member may occasionally lift and or move up to 25 pounds. Vision requirements include close vision, distance vision, depth perception and the ability to adjust focus.

Education/Experience Requirements

• High School Diploma or Equivalent (Required)
• Experience in Medical Records department or processing preferred.
• Healthcare experience preferred.

Job Type: Part Time 24 hours per week