This position is responsible for maintaining the health record system, ensuring the electronic health record system and documentation requirements are met according to licensure and accreditation standards. The role involves managing the client's complete health record within a hybrid system, ensuring its accessibility, retention, and transfer. It also requires protecting the security and privacy of both electronic and paper records in compliance with federal regulations, HIPAA, Joint Commission standards, and Seven Counties Services (SCS) procedures. The specialist will compile and maintain health records for accurate documentation to support timely client care and manage paper records according to filing and archiving procedures. Additionally, the role involves safeguarding client privacy during the release of information process, verifying requestor credentials and release requirements, and fulfilling requests for health information from various entities. This includes locating and retrieving Protected Health Information (PHI) in both electronic and paper formats, reproducing requested information within established timeframes, and interpreting requests to answer questions from clients, staff, law firms, insurance companies, and government agencies. The specialist will also generate necessary documentation such as cover letters, pre-payment notices, and invoices. A key responsibility is the quantitative analysis of the legal health record to ensure completeness, accuracy, and compliance with regulations, standards, and SCS procedures. This includes maintaining PC tracking systems, generating reports to monitor record completeness, and notifying providers and clinical supervisors of documentation deficiencies. The role also involves scanning health records, which includes identifying documentation for scanning, preparing it, performing accuracy and quality checks, and monitoring for and correcting scanning errors. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree