Description

Responsibilities:

• Front Desk Data Validation and Correction
• Utilize SQL queries and Mylnsight reporting tools to identify and correct front desk-related data entry errors.

Perform routine audits for the following:

• Benefit Assignments: End-date outdated or incorrectly assigned benefits.
• Insurance Relationships: Ensure the insured relationship is correctly set to "Self."
• Checkout Status: Investigate patients who have not checked out and apply corrective actions.

Clinical Data Integrity

• Analyze service records for completeness, accuracy, and compliance with billing requirements.

Identify and correct:

• Document how data is currently being entered into Mylnsight. The primary objective is to develop a Standard Operating Procedure (SOP) for each program, which will serve as formal documentation to be shared with Patagonia.
• Missing Office and lab Visits in program services requiring both components.
• Billable Services lacking appropriate Evaluation & Management (E/M) or Office Visit codes.
• Diagnoses missing associated E/M codes. Vaccination Admin Fees not entered for patients with Medicaid, Medicare, or Private Insurance.
• Incorrect Service Entry Points ( e.g., services entered from the Front Desk instead of Home View).
• Services logged under incorrect events.
• Duplicate Record Management Identify, merge, and clean up duplicate patient records using Mylnsight and supporting tools.
• Maintain record consistency across the EHR to ensure accurate reporting and billing.

Required Qualifications:

• Associate's or Bachelor's degree in Health Information Technology, Computer Science,
• Healthcare Administration, or a related field.
• Minimum of 2 years of experience working with EHR systems, preferably Mylnsight by Nets mart.
• Prof1c1ent ,n SQC"for data querying ana report generation.
• Strong analytical and problem-solving skills.
• Experience with data cleanup and auditing workflows in a healthcare setting.

Preferred Qualifications:

• Experience working in a public health or clinical environment.
• Familiarity with healthcare billing and insurance requirements (Medicaid, Medicare, Private).
• Understanding of ICD/CPT coding and E/M documentation standards.

Competencies:

• High attention to detail and data accuracy.
• Ability to work independently and collaboratively with clinical and administrative staff.
• Strong organizational and time-management skills.
• Clear verbal and written communication

Key Skills

Education

Bachelor's degree