Medical Record Clerk - CLR Support
Twentynine Palms, CA
ERP International, LLC (www.erpinternational.com
) is currently seeking Medical Record Clerks for full-time positions supporting the Naval Hospital Twenty-Nine Palms, CA. Please apply online to learn more about this great opportunity!
Education: Possess a high school diploma or GED.
- At least one year of experience providing medical administrative support services
- Must possess experience using basic software applications, such as Microsoft Word and Excel
- Must possess at least one year experience interpreting coding records
- Must posses familiarity with medical terminology
- Must posses skills in oral and written communication sufficient to prepare and present reports using Microsoft Office Suite
- Experience with CHCS/AHLTA highly desirable
- Knowledge of Military Health System standards and policies highly desirable
Security: Must be a US Citizen and must be able to pass a government background check
8.5 hour workday during normal operating hours of 0700 - 1700, Monday through Friday
No Weekends or Holidays
Job Specific Details and Tasks:
Clear and Legible Reporting (CLR) Support
The contractor shall review all incoming CLRs for accuracy, completeness, and legibility and posting of consultation reports for patients referred both to and from civilian network providers.
Contact the civilian physician’s office, if an incoming report does not meet the CLR standards.
The contractor shall notify MTF providers when a CLR is posted and monitor timelines of incoming CLRs.
The contractor shall provide CLR receipts validation and shall cross-check referral authorizations against claims adjudicated.
The contractor shall properly document patient responses in CHCS, AHLTA, and the Referral Management System/Referral Management System Tracking Reports and Health Artifact and Image Management Solution (HAIMS). The contractor shall provide notification to the referring Provider of patient requests to cancel referrals.
The contractor shall contact civilian Provider offices to determine if patient was seen and if so, acquire referral results. The contractor shall properly close referrals in CHCS and the Referral Management System/Referral Management System Tracking Reports appropriately and shall forward an informational advisement of the referral status to the initiating MTF provider or PCM. If patient is not seen in a civilian office, the contractor shall contact the patient to assist the patient in completing their care. Contacts shall be documented per MTF instruction.
The contractor shall assist with the return of completed consult reports to civilian providers for patients seen within the MTF under ROFR. ROFRs shall be processed within the time limits outlined in the TRICARE Operations Manual, Chapter 8, Section 5 (http://manuals.tricare.osd.mil/DisplayManual.aspx?SeriesId=OPERATIONS).
The contractor will be aware of and verify accuracy of Quarterly Referral Management Reporting provided by the Referral Management supervisor to ensure percentages of Referrals closed with documentation are accurate and reflect current performance.
The contractor will adjust staffing and resources as necessary to ensure that 100% of initial referral authorization requests are accounted for in the following categories of closure:
Closed with CLR documentation, provider notified, and referral closed as ‘results received’ in CHCS.
Closed after patient notification, incorrect contact information identified, or 3 contact attempts are made to patient, provider notified and accounted as ‘no appointment required in CHCS
Closed according to exclusion criteria in accordance with MTF business rules.
About ERP International, LLC
ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide.
ERP's commitment and dedication to its customers was most recently reflected in an independent Dun and Bradstreet customer satisfaction rating in which ERP earned a customer satisfaction rating of 95 percent. Our exceptional customer rating ranks the company among the top five percent of all companies receiving the Dunn and Bradstreet rating. Washington Technology and Inc. Magazine have both ranked ERP among the fastest growing firms in the nation for 2014.
ERP offers exceptional benefits, including competitive compensation, Medical/Dental/Vision, short and long-term disability, life insurance, paid vacation, paid holidays, a matching 401(k), training and education opportunities, and semi-monthly direct deposit.