Utilization Management Technician Jobs (NOW HIRING)

Job Summary The Health Information Technician provides technical support concerned with processing and maintaining medical records in accordance with regulatory agencies and the Pascua Yaqui Health Department's policies. This position requires general knowledge of departmental policies, procedures, medical codes, the organization, and consistency required in standardized electronic health records. Incumbent is responsible for performing detailed, confidential data entry, compile reports, provide medical staff assistance with accessing and updating patient medical records.

The Health Information Technician assists with maintaining the nationwide health information infrastructure that allows for the accurate exchange of information health. Principle Duties and Responsibilities Perform various, routine, data processing of health records and related documents associated with maintenance of patient health records, which includes treatment coding and data tracking within the electronic records systems. Utilize the electronic recordkeeping software, which includes but is not limited to, Resource Patient Management System (RPMS), IHS Systems, National Patient Information Reporting System, Epi6 Database, the Pascua Yaqui Medical Program software, and Claim Track Program.

Compile information associated with the planning and organization of the facility's utilization review, quality assurance and risk management programs; assign access and monitors the system security. Provide technical assistance to system users, which may include system access troubleshooting, code information, and system developer contact information. Prepare and review a variety of reports related to patient services, which may include, reports, status reports on user population, workload activity reports, and immunization reports.

Complete data entry and quality review on patient information is entered into the electronic reporting systems, which may include performing intake interviews with patients. Track and update patient records and logs for insurance information, eligibility, and treatment codes. Provide users support services on issues related to billing and coding for treatment services.

Monitor the paper files for adding, deleting, scanning, researching information, and documents in preparation for electronic data collection. Respond to sensitive request for information and assistance with patient records, provide information regarding applicable rules, policies, and regulations; assist medical staff with data concerns and refers inquiries to the appropriate agency or manager. Perform other duties of a similar nature or level as requested by supervisor or director.

Required Knowledge, Skills, and Abilities Knowledge of: Clerical and office support practices; Customer service principles; Recordkeeping principles, procedures and methods; General mathematical concepts; English language, grammar and punctuation; Report preparation techniques; Assigned department operations and functions; Applicable federal, state, local laws, rules and regulations; Medical Coding standards for CPT-4 procedures, ICD-10 diagnosis coding, HCFA 1500s, and UB-92; Medical tracking and reporting software, including but not limited to, electronic systems for processing third party insurance billing, AHCCCS eligibility and enrollment requirements, RPMS system and/or Claim Track; HIPAA Regulations; Yaqui culture, customs, resources and traditions and/or a willingness to learn. Skills and Abilities: Maintain various confidential records; Operate a variety of office equipment, including a computer and related software applications, telephone, fax machine and adding machine; Maintain files and records; Prepare and proofread a variety of reports and/or documentation; Use proper English grammar, punctuation and spelling; Compile data and information; Provide customer service; Prepare a variety of business correspondence, records, reports, documents and forms; Follow oral and written instructions, policies and procedures; Operate a variety of office equipment, including a computer and related software applications; Good communication and interpersonal skills as applied to interaction with co-workers, supervisor, management, Council members, and the public. Have ability to sufficiently exchange or convey information and receive verbal and written work instructions.

Education, Certifications and Experience Required High School Diploma or GED and two (2) years of Patient Support Services experience, to include ICD-10 coding; and experience sufficient to successfully perform the essential duties of the job such as those listed above. AND Medical Billing & Coding Certification, Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred. Special Requirements: Must possess and maintain a valid Arizona Driver's License; This position will require the incumbent to work non-traditional hours, nights, and weekends; Must have a current Level 1 Arizona Clearance Card or be able to obtain the Level 1 Arizona Clearance Card within ninety (90) days of hire.

Failure to maintain a current Level 1 Clearance Card will result in termination from this position.