Medical Records Manager - Washington, United States - Serco North America

Serco North America

Verified Company

Washington, United States

31 minutes ago

Posted by:

Mark Lane

beBee recruiter

Description

Position Description:

Serco is seeking a motivated Medical Records Manager for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA).

As part of this effort, Serco would execute the PERM review contract which includes collection of state eligibility policies and medical records; medical reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and supporting state and national reporting and development of corrective actions based on findings.

The Medical Records Manager position would be responsible for the management, oversight and direction on medical records documentation protocol necessary for timely completion of the PERM program.

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Hybrid or full-time remote work. This is position is contingent on contract award._**
In this role, you will:

Be in direct communication with the Assistant Program Director for Medical Claims Review in managing medical records collection and review
Provide technical assistance to the CMS PERM staff
Provide oversight and direction with the documentation protocol necessary for timely completion of the PERM program.
Ensure the full and complete scanning and uploading of all medical records received to begin the medical review of claims.
Identify improvements to streamline and automate documentation processing to enhance program efficiency and coordination.

Competencies

Thorough understanding of project/program management techniques and methods
Demonstrated knowledge of documentation collection, formatting, storage and access protocols including requesting, scanning, uploading, classifying and organizing all medical records received in preparation for medial review of claims.
An analytical mindset with problemsolving abilities.
Strong leadership and organizational skills.
Excellent communication skills, both strong orally and written skills.
Exceptional interpersonal skills with ability to establish and maintain effective working relationships.
Enjoy working in fastpaced and collaborative team environment.

Qualifications:
The Medical Records Manager will possess a combination of experience meeting the following criteria:

A minimum of three (3) years of supervisory/managerial experience related to file and record management;
A minimum of five (5) years general related experience, which includes experience with electronic medical records and the electronic transmission of medical records;
Certification as a Registered Health Information Administrator or similar designation;
Preferably knowledge and working experience with the Medicaid program; and
Associate's Degree, Bachelor's Degree, or Master's Degree from an accredited institution and in a field of study that can be reasonably interpreted to perform tasks related to this position.

Company Overview:
Serco Inc. (Serco) is the Americas division of Serco Group, plc.

In North America, Serco's 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation.

We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.

Serco is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.