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Medical Records Specialist

Cceasternwa

Spokane (WA)

On-site

USD 45,000 - 60,000

Full time

20 days ago

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Job summary

A leading organization in Spokane is seeking a dedicated individual to manage behavioral health care files and ensure compliance with regulations. This role involves auditing, credentialing, and maintaining privacy standards. The ideal candidate will possess strong analytical and interpersonal skills, with a background in medical records maintenance. Join us in our mission to support vulnerable community members and make a difference in their lives.

Benefits

Sick leave
Vacation
Discounted health memberships
Retirement (Employer contribution - 3% contribution and an additional 3% employer match)
13 Paid Holidays

Qualifications

  • Experience with medical records maintenance and auditing required.
  • Must have a valid Driver’s License.

Responsibilities

  • Perform regular reviews and audits of all clinical files.
  • Provide timely and efficient admission services.
  • Maintain file integrity in accordance with HIPAA regulations.

Skills

Adaptability
Analytical Ability
Interpersonal Skills
Problem Solving Ability

Education

Experience in medical records maintenance and auditing

Tools

Electronic Medical Records systems
Excel
Word
SharePoint
Outlook
Teams
Zoom

Job description

WE OFFER EXCELLENT BENEFITS:

  • Sick leave
  • Vacation
  • Discounted health memberships
  • Retirement (Employer contribution - 3% contribution and an additional 3% employer match)
  • 13Paid Holidays

Mission of Catholic Charities

Feed the hungry, heal the hurting, welcome the stranger.

CCEW is an equal opportunity employer. All employees and potential employees will be recruited, selected, trained, promoted, compensated and, if necessary, disciplined or terminated without regard to sex, gender, race, ethnicity, national origin, citizenship, immigration status, religious affiliation, marital status, military veteran status, age, pregnancy, sexual orientation, gender expression or identity, disability, genetic information, or any other basis protected by law.

Job Summary

This position is primarily responsible for the maintenance of and quality control for behavioral health care files through the use of review and audit.In addition, this position includes credentialing duties and the provision of back-up for services for program admissions and privacy issues.

Job Duties/Responsibilities

To perform this job successfully, an individual must be able to satisfactorily perform each of the essential duties/responsibilities listed below.Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential duties/responsibilities of this job.

  1. In accordance with commercial insurance, MCO, State of Washington, and federal guidelines and standards, perform regular reviews and audits of all clinical files including organizing information to facilitate audit trails and procedures and documentation standards are met.
  2. When necessary, provide back-up for our Consumer Care Coordinator position in accordance with intake criteria, provide timely and efficient admission services from initial request for services to scheduling of an intake assessment for all individuals seeking CBHS services.Provide appropriate referrals for those individuals CBHS is unable to serve.
  3. Provide assistance for privacy standards under the CCEW’s Privacy Officer and HIPAA Team to maintain file integrity in accordance with HIPAA and 42 CFR regulations.
  4. Review and complete all requests for health care records in a timely manner as specified by state regulations.
  5. Maintenance of the file room, and the proper paper file destruction per state regulations.
  6. Credential all behavioral health personnel with insurance companies which include Medicaid, Medicare, and commercial insurances.
  7. Assume Lead role in all file monitoring for all state, federal, insurance, and MCO requirements.
  8. Uses appropriate administrative, fiscal, physical, and technical safeguards to ensure the confidentiality, integrity, and security of CCEW client protected health information (PHI), per regulations outlined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and 42 CFR, Pt 2.
  9. Will regularly utilize all forms of HIPAA Compliant communication (email, text, phone, zoom, etc.) and database practices necessary for this position and as directed by supervisor.
  10. As a mandated reporter, follows all procedures outlined in agency policies and procedures to report to the proper agency when there is suspicion and/or confirmation that a child or adult has been a victim of abuse or neglect.
  11. Perform as a team member to ensure that productivity outcome measures are achieved.
  12. Adhere to the tenets of Catholic Social Teaching and Catholic Doctrine.
  13. Performs related functions necessary to support the mission and core values of Catholic Charities.
  14. Other duties assigned.

Job Qualifications

To perform this job successfully, an individual must meet the minimum qualifications listed below.These qualifications are representative of the knowledge, skill and/or ability required to perform this job.

Education/Experience:to perform this job successfully, an individual must have experience in medical records maintenance and auditing.Experience with Electronic Medical Records systems, creating Excel spreadsheets and Word documents, working in SharePoint, Outlook, Teams, and Zoom.

Certificates/Licenses:To perform this job successfully, an individual must have a valid Driver’s License and ability to drive for work use. Successfully pass background check applicable to position.

Physical Abilities:To perform this job successfully, an individual must be able to:

  • Regularly sit, stand, climb, walk, hear/listen, talk
  • Frequently
    lift up to 10 pounds, pull/push, carry, grasp, reach
  • Occasionally
    crawl, stoop, kneel
  • Clearly see 20+ feet, with or without corrective lenses, ability to focus

Mental & Other Skills/Abilities:
To perform this job successfully, an individual must have the:

  • Adaptability:ability to adapt to changes, delays or unexpected events in the work environment; ability to manage competing demands and prioritize tasks; ability to change approach or method to best fit the situation.
  • Analytical Ability:ability to maintain focus for extended periods of time; ability to complete research projects with resourcefulness and persistence; ability to synthesize complex or diverse information; ability to use intuition and experience to complement existing data.
  • Attendance: ability to consistently arrive and be able to work as scheduled.
  • Computer/Technical Ability: working knowledge of: Word Processing software, Spreadsheet software, Internet software.Ability to work with computerized database and knowledge of billing procedures and filing procedures.
  • Dependability:ability to follow instructions, both in written and verbal format; ability to respond to management direction; ability to complete tasks on time or notify the appropriate person with an alternate plan when necessary.
  • Interpersonal Skills:ability to maintain satisfactory relationships with others, excellent customer service skills and a good overall understanding of appropriate human relations. Awareness of and sensitivity to the service population’s culture and socioeconomic characteristics.Ability to ask questions and gather information in a non-threatening manner.Ability to respond in a gentle and professional manner to persons experiencing emotional trauma or crisis.
  • Judgment:ability to make prudent and timely decisions; ability to exhibit sound and accurate judgment; ability to explain reasoning for decisions.
  • Language Ability:
    ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; ability to write routine reports and correspondence; ability to speak effectively before groups of customers or employees of organization. Ability to apply screening criteria in order to determine appropriateness for services.
  • Mathematical Ability: ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals; ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
  • Motor Coordination: the ability to coordinate eyes, hands, fingers, and feet accurately and handle precise movements.
  • Problem Solving Ability:ability to identify and/or prevent problems before they occur; ability to formulate alternative solutions to problems when necessary; ability to transfer learning from past experiences to new experiences of similar nature.
  • Quality Management:ability to complete duties, on time and with absolute precision, at least 95% of the time; ability to edit the accuracy and thoroughness of one’s work as well as the work of others;ability to constructively apply feedback to improve performance, ability to generate ideas to improve and promote quality in work.
  • Reasoning Ability:ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists; ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Supervisory Skills:this job has no direct supervisory responsibilities.

Workplace Environmental Conditions

While performing the essential duties/responsibilities of this job, the employee will be:

  • Noise Conditions: exposed during a shift to constant or intermittent sounds at moderate to loud levels of sound dependent upon daily activities.
  • Exposure to Trauma: Employees of Catholic Charities Eastern Washington provide direct services to vulnerable community members including those who have behavioral health challenges and those who have been exposed to trauma.
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