Medical Records Specialist - PACE CNY

Loretto Management Corporation•Syracuse, NY

2d•Onsite

About The Position

The Medical Records Specialist works under the general direction and supervision of the Health Information Director or designee. The role audits clinical and non-clinical compliance for PACE CNY and the Diagnostic and Treatment Center (D&TC), and supports departmental reporting, maintenance of electronic medical record (EMR) functions, health-information auditing, and other departmental activities. This position is onsite in Syracuse, New York; it is not a hybrid or remote opportunity. The Specialist audits EMR documentation, data, internal processes, record maintenance, and health-information disclosures for accuracy, integrity, completeness, and compliance with applicable federal and state requirements. The role supports ongoing readiness for Department of Health (DOH) and Centers for Medicare & Medicaid Services (CMS) audits, identifies compliance issues and deficiencies, reports findings to the Health Information Director, and helps develop, implement, and monitor corrective action plans. The position also assists with the PACE CNY compliance program and related staff training, compiles monthly census and program reports, coordinates regulated exchanges of medical information with care facilities and other entities, and performs quality-assurance activities. The Specialist supports privacy monitoring and training, watches for potential confidentiality breaches, and assists with follow-up on health-information processes and reports.

Requirements

Associate degree in Health Information Management or another related healthcare field, or an equivalent combination of education and experience that provides proficiency in the listed responsibilities.
Registered Health Information Technician (RHIT) or Certification in Healthcare Compliance (CHC) required.
At least 3 years of experience in health information management required.
Prior experience with EMR systems required.
Proficiency with Microsoft Office and ability to learn new software rapidly.
Ability to work with all disciplines and areas of the healthcare field.
Attention to detail and accurate input skills.
Strong organizational and analytical skills, including ability to prioritize work.
Strong written and verbal communication skills, analytical skills, organizational skills, and time-management skills.

Nice To Haves

Experience in a combination of outpatient and inpatient settings preferred.
Experience in healthcare compliance strongly suggested.
Knowledge and experience in a managed-care environment highly desirable.

Responsibilities

Audit EMR documentation and data for accuracy, integrity, completeness, and compliance with applicable regulations.
Prepare continually for audits from the Department of Health and Centers for Medicare & Medicaid Services, monitor requirements, and share audit information with the Health Information Director.
Audit internal processes, EMR documentation, and other data; identify, investigate, and report compliance issues, irregularities, and violations.
Assist with implementation and maintenance of the PACE CNY compliance program, including program review and staff training as requested.
Conduct functional and process audits as directed, identify deficiencies and potential corrective actions, and advise management.
Compile and distribute monthly census and program reports.
Ensure medical information is exchanged with skilled nursing facilities, adult housing, and other entities as required by regulations.
Complete routine health-information disclosures to participants, family members, and other caregivers in compliance with applicable regulations.
Assist with employee training on privacy, monitor for potential confidentiality breaches, report concerns, and support corrective action planning.
Perform departmental quality-assurance functions required by regulatory agencies, laws, and program standards.
Audit EMR-related record maintenance and health-information releases, ancillary quality assurance, discharge summaries, Part A Days, and follow-up of specialists’ reports.
Summarize audit findings and assist the Health Information Director in developing, implementing, and monitoring plans of correction.