Health Information Specialist

Coronahealthcenter; Corona (CA); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Generous Bonuses

Growth Opportunities

Double salary

Job summary

Coronahealthcenter is seeking a Health Information Specialist to maintain medical records in accordance with federal and state guidelines and company policies. The role emphasizes accuracy, documentation, and timely data management.

Responsibilities include assembling records, data entry for orders, Medicare/Medicaid certifications, audits, and ensuring complete, properly signed records. A high school diploma and healthcare exposure are preferred, with strong computer skills and English

Qualifications

• 1-2 years health care related experience preferred.
• Knowledge of medical terminology preferred.
• Sufficient computer skills including Microsoft Office/Outlook/Internet.

Responsibilities

• Complies with all company and departmental policies and procedures.
• Assists in preparation of medical records for new admission, completing data required to meet Licensing and Certification requirements, and facility policies and procedures.
• Assembles new admission registers and indexes and codes diagnoses.
• Performs data entry duties for MDS and physician orders as directed.
• Performs medical record audits and re-audits as directed and submits to appropriate parties.
• Collects charts, assembles them in proper order, and inspects them for completion.
• Maintains a record of authorized information taken from charts/records.
• Assures that medical records taken from the department are signed out and signed in upon return to the department.
• Abstracts information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
• Indexes medical records as directed.
• Mails physician telephone orders on daily basis. Tracks return and notifies supervisor of delinquent physicians.
• Prepares reports for physicians as necessary.
• Completes medical record thinning and filing on a regular basis.
• Retrieves medical records when requested by authorized personnel.
• Assists in transfer and discharge process as necessary.
• Completes Medicare certifications and recertifications.
• Assembles discharge records; obtains discharge summary for each discharge record, follows up as indicated.

Skills

Healthcare experience

Medical terminology

Computer literacy

Education

High school diploma or equivalent

Tools

Microsoft Office

Outlook

Internet

Job description

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?

WHAT WE'RE ABOUT

We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction.

Requirements:

• You care

Health Information Specialist Perks:

• Generous Bonuses
• Growth Opportunities - DOUBLE your salary
• Health Benefits

Position Summary:

Is responsible for maintaining medical records in accordance with federal and state guidelines, as well as with Company's established policies and procedures.

Duties and Responsibilities:

• Complies with all company and departmental policies and procedures.
• Assists in preparation of medical record for new admission, completing data required to meet Licensing and Certification requirements, and facility policies and procedures.
• Assembles new admission registers and indexes and codes diagnoses.
• Performs data entry duties for MDS and physician orders as directed.
• Performs medical record audits and re-audits as directed and submits to appropriate parties.
• Collects charts, assembles them in proper order, and inspects them for completion. Ensures incomplete records/charts are returned to nursing service for correction.
• Maintains a record of authorized information taken from charts/records, i.e., type of information, name of recipient, date, department, etc.
• Assures that medical records taken from the department are signed out and signed in upon return to the department.
• Abstracts information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
• Indexes medical records as directed.
• Mails physician telephone orders on daily basis. Tracks return and notifies supervisor of delinquent physicians.
• Prepares reports for physicians as necessary.
• Completes medical record thinning and filing on a regular basis. Files active and inactive records in accordance with established policies.
• Retrieves medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.)
• Assists in transfer and discharge process as necessary.
• Completes Medicare certifications and recertifications.
• Assembles discharge records; obtains discharge summary for each discharge record, follows up as indicated.

Qualifications:

• 1-2 years' health care related experience preferred, previous experience in Skilled Nursing environment desirable
• High school diploma or equivalent required
• Knowledge of medical terminology preferred
• Willing to work beyond normal working hours, weekends, holidays, and/or on other shifts and in other positions, when necessary
• Must be able to read, write and speak the English language sufficiently and comprehensibly enough to perform the essential functions of the job
• Must be knowledgeable of nursing/medical practices and procedures, and/or terminology, laws, regulations, and the guidelines that pertain to long-term care
• Sufficient computer skills including proficiency in Microsoft Office, Outlook, and /or Internet to perform required duties.

Benefits:

• Medical insurance with Rx benefits
• Dental insurance
• Vision care
• Paid vacation