Medical Records Specialist - PACE CNY

careers-loretto2; Pace (FL); On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Medical Insurance

401(k) Retirement/Pension

Tuition Reimbursement

Paid Time-Off

Gym Membership

Diaper Assistance Program

Job summary

Loretto is seeking a Compliance/Health Information Specialist to audit EMR documentation for accuracy and regulatory compliance, and to support the health information program. The role involves audits, reporting, and training staff on privacy and compliance, with duties continuing across multiple regulatory requirements.

The position is onsite in Syracuse, NY, and not remote or hybrid. Candidates should have RHIT or CHC certification, an associate degree in health information management, and at

Qualifications

• Associates Degree in Health Information Management or related field.
• RHIT or CHC certification required.
• At least 3 years of health information management experience; outpatient and inpatient settings preferred.
• Proficiency with MS Office and EMR systems.

Responsibilities

• Audit EMR documentation for accuracy and regulatory compliance.
• Prepare for DOH and CMS audits and assist in corrective actions.
• Audit internal processes to ensure state and federal compliance.
• Support the implementation and maintenance of the PACE CNY compliance program.
• Conduct functional and process audits and advise management on deficiencies.
• Compile monthly census and program reports and distribute accordingly.
• Ensure sharing of medical information with facilities as required by regulations.
• Complete health information disclosures to participants and families.
• Assist with training on privacy and breach monitoring; support corrective actions.
• Perform QA functions and summarize findings for corrective plans.

Skills

MS Office

Attention to detail

Strong written & verbal communication

Education

Associate Degree in Health Information Management or related field

RHIT certification

CHC certification

Tools

EMR systems

Job description

Overview

Under the general direction and supervision of the Health Information Director/Designee, the Compliance/Health Information Specialist is responsible for auditing compliance with all regulations (clinical and non-clinical) pertaining to PACE CNY and the Diagnostic and Treatment Center (D&TC). In addition, the Specialist will assist the Director in other departmental duties related to reporting, maintenance of electronic medical record (EMR) functions, auditing of health information related activities, and other departmental activities.

**This position will be located onsite in Syracuse, NY. This is not a hybrid or remote opportunity.

Responsibilities

Job Duties Specific to This Position:

• Audits EMR documentation and data for accuracy, integrity, and compliance. Ensures information collected is complete, accurate and in compliance with applicable federal and state regulatory requirements.
• Prepares for audits from DOH and CMS on a continual basis. Monitors all requirements and audits for compliance. Shares this information with the Health Information Director and assists in corrective action planning
• Audits internal processes, EMR documentation and other data to ensure compliance with applicable state and federal regulatory requirements, including identifying, investigating, and reporting compliance issues, irregularities, and violations to the Health Information Director.
• Assists in the implementation and maintenance of the PACE CNY compliance program, including review of the program and relevant staff training as requested by the Health Information Director.
• Conducts functional and process audits as directed by the Health Information Director; identifies deficiencies and potential corrective actions and advises management of same.
• Compiles monthly census and program reports and distributes accordingly.
• Ensures medical information is shared with, and received from, skilled nursing facilities, adult housing and other entities as required by state and federal regulations.
• Completes routine health information disclosures to participants, family members and other caregivers, ensuring compliance with all state and federal regulations.
• Assists with ongoing training to all employees related to privacy, monitoring of program and staff for potential breaches of confidentiality, advises Health Information Director of concerns and assists with corrective action planning.
• Performs departmental quality assurance functions required for compliance with regulatory agencies/laws as well as the program’s quality standards. Audits EMR related record maintenance and the releasing of health information, ancillary QA, discharge summaries and Part A Days plus follow up of specialists’ reports, etc. Summarizes findings; assists Health Information Director in developing, implementing, and monitoring plans of correction as appropriate.

INDPRO

Qualifications

• Associates Degree in Health Information Management or other related healthcare field.
• Registered Health Information Technician (RHIT) or Certification in Healthcare Compliance (CHC) required.
• At least 3 years of experience in the field of health information management required. A combination of outpatient and inpatient settings preferred. Experience in health care compliance strongly suggested.
• Ability to work with all disciplines/areas of the healthcare field.
• Proficiency with MS Office and able to learn new software rapidly. Prior experience with EMR systems required.
• Knowledge and experience in managed care environment highly desirable.
• Attention to detail and accurate input skills required.
• Strong organizational and analytical skills with ability to prioritize work.
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required.

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

Physical Requirements

Walking/Standing 15.00%

Sitting 80.00%

Lifting 5.0%

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Loretto reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

Benefits/Compensation

• Pay Range $22.05 - $24.37 / hour
• Excellent medical, dental, prescription and vision insurance
• Disability coverage
• Tuition Reimbursement Program
• 401(k) Retirement/Pension Plans
• Discounted Gym Membership
• Paid Time-Off Accrual
• Fun events for employees
• Convenient locations with free parking
• Employee Coaches - to help you achieve life goals
• Diaper Assistance Program
• Opportunity for career growth and movement within 19 sites