PACE Health Information Management Specialist

PacificSource Health Plans•Springfield, OR

14d

About The Position

The Health Information Management Specialist plays a crucial role in the effective management and maintenance of the medical records system. This position involves reviewing documentation to identify and resolve discrepancies, ensuring compliance with regulatory guidelines and internal controls.

Requirements

A minimum of 1 year of relevant experience in Health Information Management is required.
A high school diploma or equivalent is required.
Strong attention to detail, ensuring the accurate and complete review and maintenance of medical records.
Excellent organizational skills and the ability to manage multiple tasks effectively.
Exceptional interpersonal and communication skills, maintaining a friendly and approachable demeanor.
Ability to work collaboratively within a team environment.
Proficiency in using various software applications, including Word, Excel, PowerPoint, and Outlook.
Capability to work independently with minimal supervision.

Responsibilities

Maintain accurate and up-to-date participant health records by collecting, organizing, and managing both paper and electronic documentation, including data entry, scanning, and electronic filing.
Support clinical and administrative operations by obtaining external provider records and generating timely reports to ensure comprehensive and accessible health information.
Coordinate, track, and process outgoing referrals for PACE participants in the Electronic Health Record (EHR).
Maintain timely communication with referral and specialty partners including hospitals, clinics, skilled nursing facilities, and community agencies.
Audit referral activities and outcomes in the EHR to ensure timeline requirements per PACE regulatory requirements.
Collaborate with PACE Compliance to ensure EHR documentation meets PACE regulatory requirements.
Ensure the confidentiality of all medical records and track all requests made for records.
Organize and ensure medical records are easily accessible for staff and providers, both electronically and in paper format.
Provide health information support, on an as needed basis, for the Interdisciplinary Team (IDT), and Enrollment Specialists, and intake staff, as it pertains to the electronic health record.
Perform specialized health information management (HIM) tasks, including obtaining external records, processing release of information (ROI), and managing telephone/after-hours documentation.
Assist in training staff on medical record processes and provide guidance on compliance and best practices.
Respond to medical record requests from various departments, including Enrollment, PACE PCPs, outside agencies, and Finance.
Provide administrative support as needed.
Serve on various internal and external committees as required or designated.
Participate in team meetings, caregiver groups, and special events as needed.
Foster a safe and supportive environment conducive to the professional development of healthcare professionals.
Meet department and company performance and attendance expectations.
Follow privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.