General Summary: Supports clinical performance through abstraction, review, and reporting of medical record clinical documentation and billing assessment, to support initiatives related to quality improvement, accreditation, and regulatory requirements.
Essential Job Responsibilities:
Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
Abstract moderate to highly complex clinical data using established definitions and guidelines and maintain an abstracting volume to meet internal and external reporting deadlines.
Perform clinical review of a medical record and summarize the findings to facilitate additional review.
Reviews patient non-compliance lists and conducts outreach to ensure timely disease specific and wellness visits.
Collects and tracks monthly, quarterly and annual process improvement measures.
Conducts analysis of data in cooperation with the medical staff to assist in identification of improvement activities.
Understands current issues, practices and trends in healthcare and communicates to employees as appropriate.
Presents data collected in an organized format to facilitate analysis and identification of improvement opportunities.
Provides documented reports of findings from data collection as requested.
Provides education to medical staff members and hospital staff as appropriate to enhance performance and documentation.
Other duties as assigned
Education: High school diploma/GED required with completion of Medical Assistant Program strongly preferred.
Experience: Two (2) years of clerical and customer service. Experience in health-related field and bilingual preferred.
Knowledge of anatomy, physiology, and medical terminology.
Working knowledge of clinical workflows
Knowledge of Electronic Health Systems
Knowledge of ICD-9 and CPT codes
Skill in multi-tasking.
Skill in customer service.
Skill in computer hardware and software use.
Skill in verbal and written communication.
Skill in exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Skill in analyzing situations accurately and taking effective action.
Skill in establishing and maintaining effective working relationships with employees, policy-making bodies, third-party payers, patients, and the public.
Skill in organizing work, making assignments, and achieving goals and objectives.
Skill in exercising judgment and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures.
Ability to multi-task, manage details and organize efficiently and effectively.
Ability to read, interpret, and apply policies and procedures.
Ability to set priorities among multiple requests.
Ability to interact with patients, medical and administrative staff, and the public effectively.
Ability to use EMR, other relevant computer hardware and software, telephone, copier, fax machine and other standard medical office equipment.
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, calculators, etc.
Work Environment: Position is in a well-lit office environment. Occasional evening and weekend work.
Mental/Physical Requirements: Involves sitting approximately 75 percent of the day, walking or standing the remainder, using computers and telephones
Primary Location: Tucson, Arizona
Facility: Tucson Physician Group Holdings
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.