Health Information Coordinator, Youngstown - LPN

Position: Health Information Coordinator, Greater Youngstown - LPN
It's fun to work in a company where people truly BELIEVE in what they're doing!

Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work!  Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job.

Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, inclusion, integrity, financial stewardship, leadership and care.

The Health Information Coordinator supports the clinical home health and/or hospice teams to utilize a collaborative process to review, plan, monitor, and evaluate the options and services required to meet home health and/or hospice patients’ health needs while coordinating available resources to promote quality and cost-effective outcomes through ongoing audits of medical records and clinical documentation to continually improve data quality in accordance with company standards and federal, state, and local standards, guidelines, and regulations.
** Essential Activities and Tasks
**** Operations Management and Administration - 55%
*** Collaborates with discharge planners and marketing team to manage processes, protocols, and timeliness of all referrals to meet the comprehensive needs of the patients.
* Interacts with patients, physician offices and staff during phone calls, triages priorities, writes orders, and schedules SOC/ROC visits, as needed. Identifies and interprets clinical referral documents to assist with site coordination of clinical care priorities, i.e. same day open cases, IV infusion services, wound care, etc. to assure timely and admissions.
* Monitors for home health, hospice and private duty referrals and enters referrals into HCHB utilizing an electronic medical records platform. Attaches all referral documents in HCHB and processes referral workflow.
* Monitors and follows up continuously on all pending referrals, missing documents, F2F, diagnosis, or orders.
* Contacts patients to obtain necessary personal information to complete the referral i.e. social security number, insurance information, etc.
* Completes all referrals by accessing the hospital electronic health record system to obtain relevant information and documentation, i.e. insurances, history and physical, face to face, etc.
* Enters data to initiate opening new patient files in the EMR and labels and attaches all clinical documents into EMR for use by clinicians, office staff, authorizations, etc.
* Reviews payor eligibility and authorization notes in HCHB prior to scheduling SOC.
* Works with schedulers and team to coordinate all needs of staff and patients and assists with scheduling for timely initiation of care.
* Assists with contacting new referrals and schedules new patients with priority that are high risk, bundle patients or same day admissions. Notifies therapy when necessary.
* Assists the marketing team in assuring a provider available to follow for home health orders.
** Quality and Compliance Management - 45%
*** Reviews referral information to identify medical diagnoses and primary ICD-10 codes that align with rationale for skilled care needs.
* Identifies the appropriate physician, physician assistant or nurse practitioner who will care for the patient and accurately enters into HCHB in compliance with payor requirements and HIPAA standards.
* Collaborates with site leadership to assure all care needs of referrals can effectively be met.
* Reviews and assures referral documentation meets face to face standards.
* Identifies the need for start of care clinician to assess patient for palliative care or remote patient monitoring program.
* Identifies the timing needed for SOC/ROC visits for IV’s, enteral feedings, injections or specialized wound care, and communicates visit needs with…