What are the responsibilities and job description for the HEALTH INFORMATION MANAGEMENT (HIM) SPECIALIST position at Commonwealth Care Alliance?
Under the guidance of the Manager of Health Information Management, the HIM Specialist is responsible for following processes to ensure compliant release of records, request for records and accurate data entry into CCAs Electronic Medical Record (EMR)
Request and review EMR from partnering organizations to obtain pertinent member documentation (narrative notes, physical exam, lab values, vital signs, medications, diagnoses, and clinical parameters, including health maintenance data).
- What You'll Be Doing :
- Upload patient documentation into CCAs electronic medical record (eCW)
- Communicates any identified discrepancies in documentation or collected data to the HIM Manager.
- Communicates to HIM Manager any providers who are unwilling to send CCA requested clinical information
- Gather and log data obtained or released by CCA for tracking and metrics.
- Obtain documentation from outside EMRs in preparation of HEDIS review, ACA and MDS assessments.
- Request and review paper records from external organizations if / when EMR is not accessible.
- Provide and obtain release of information documentation to and from members, clinicians, partnering organizations.
- Responsible for recording accurately and consistently in CCAs electronic medical record.
- Support clinical teams by obtaining medical record requests in a timely manner
- Process Ad hoc telephone encounters and new enrollments within 48hours.
- Other responsibilities and duties as assigned.
- Working Conditions :
- Standard office conditions
- What We're Looking For :
- Education Required :
- Associate degree or equivalent experience
- Experience Required :
- 2 years experience in a medical office or equivalent combination of education and experience.
- Knowledge, Skills & Abilities :
- Knowledge of medical terminology, anatomy and physiology, medical procedures, medications, and laboratory test both one on one and in group settings.
- Ability to function in a faced paced setting with a variety of patients and staff.
- Attention to details and prompt follow up
- Interest in professional growth
- Language(s) :
- English
- Bilingual nice to have
EEO is The Law
Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled
Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA / RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.
