Caduceus Healthcare Inc.

Medical Records Clerk

Fort Carson, CO

Published · Expires (UTC)

Full-timeOn-site

About this opportunity

Release of Information Clerk

Colorado Market Health Systems (CMHS)

and 90 Medical Group (MDG) Combined

BACKGROUND: The Defense Health Agency (DHA) established this requirement to provide medical and administrative support services across the Colorado Military Health System (CMHS) and the 90th Medical Group (MDG) at F.E. Warren Air Force Base. The contract supports the delivery of comprehensive healthcare to active-duty service members, retirees, and their families within multiple Military Treatment Facilities in Colorado and Wyoming. These services ensure continuity of operations, accurate medical documentation, and effective coordination of care in support of DHA’s mission to deliver high-quality, patient-centered healthcare across the Military Health System.

Place of Performance: 10th MDG at US Air Force Academy, CO (On-site)

Period of Performance: 12-month base period, plus (4) four 12-month option periods.

Duty Hours: The schedule days and hours are as follows: Monday through Friday, with 8-hour shifts between 0600-1700, excluding federal holidays, and are not to exceed more than 40 hours per week. Contractors are permitted one non-billable hour for lunch. The contractor’s work center will assign duty hours as needed for mission success.

Requirements:

  • High School Diploma or GED.
  • Shall have a basic knowledge of computers with the ability to type 1,200 lines per day.
  • Shall be able to read, understand, speak, and write English well enough to communicate effectively.
  • Shall review, code, and analyze medical records to identify inaccurate entries and/or omissions.
  • They shall plan, organize, and accomplish the review, analysis, and coding of medical records utilizing a variety of means to identify coding requirements.

Duties and responsibilities will include, but are not limited to, the following:

  • The specialist analyzes patient records that may include multiple injuries, diseases, and/or medical/surgical procedures, determining both accuracy and completeness.
  • They shall determine if/when deviations from proper terminology may indicate omission or inaccuracy within the record and initiate actions to obtain clarification, coordinating work-up of medical charts with the staff physician.
  • Shall ensure proper billing procedures are initiated upon completion/fill of the request.
  • The specialist shall initiate, post charges, and forward billing statements to the appropriate accounting officer for action.
  • Shall treat patient lists as privileged information. Lists and/or names of patients shall not
  • be disclosed to or revealed in any way for any use outside the MTF without prior written permission by the SGH, 10th MDG.
  • Shall perform order and denial management tasks using the HIM (Health Information Management) refusal inbox and standard workflows for the DoD Electronic Health Record.
  • The Specialists shall forward refusals and denials from the HIM refusal inbox to the most appropriate or corrected provider.
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Caduceus Healthcare Inc.

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