Pace HIS Specialist

Position Summary:

The PACE HIS Specialist will uphold the integrity and consistency of standard work for the department by following the established policies and procedures, regulatory standards, core values, departmental goals, and objectives. Ability to perform all functions, including but not limited to: Sorting, scanning, categorizing, and uploading medical records, obtaining records, monitoring, maintenance of workflows, maintaining reporting for Quality Improvement Measures, monitoring incoming faxes and emails, assisting others with education and guidance, processing incoming and outgoing release of information requests, and providing positive customer service experiences. This position requires working days, evenings and/or weekends, and covering any San Diego PACE facilities according to the departmental operation needs.

• This position may need to Travel to any other designated San Diego PACE facility location to assist the HIS team in staff coverage and/or working on HIS workflow processes, backlogs, projects, apply job aids, abide by policies & procedures, and provide excellent customer service experiences.

Essential Functions of the Job:

• Ability to perform under pressure and multi- task.

• Maintains and contributes to patient care by organizing and maintaining patients' medical records and health information.

• Answers requests for information and documents.

• Attention to detail; Examine medical records for completeness, consistency, and compliance with Joint Commission on Accreditation of Healthcare (JCAHO) standards. Discern discrepancies or deficiencies and prepare written notifications for corrective action concerning patient records

• Maintains patient confidence and protects PACE organization operations by keeping information confidential and complying with privacy policies and regulations.

• Monitoring and sorting incoming faxes, physical mail, and emails.

• Master standardized documentation rules and protocols for electronic health records to include document naming, filing, and obtaining records.

• Integrate data collected from a variety of electronic and paper sources including but not limited to lab reports, correspondence, referrals, consultations, hospital reports, loose documents, etc., incoming reports (i.e., hospital reports, labs, X-rays, correspondence, consultations, referrals, etc.) into the EHR in accordance with established policy and procedure for completion.

• Develop various statistical reports to assist health service operations.

• Monitor for participant's confirmed attended appointments to send timely requests for records of the provided external services. Track requested records, follow up on pending records, monitor inbox for incoming records.

• Coordinates the preparation, review and processing of forms, consent authorizations and written documentation timely including Subpoena logs, as required by HIS Department, Federal and State regulations, and as applicable by law.

• Maintains the documentation for the Patient Health Information (PHI) Log, as required by HIS Department, Federal and State regulations, and as applicable by law.

• Works in collaboration with other clinical care Providers and the HIS team for positive customer service, and aiding any other HIS areas, as needed for smooth operations.

• Work closely with the management team to identify process issues related to EHR and HIS workflow and offer recommendations for resolutions or modifications particularly as it relates to the paper/electronic interface and the daily workflow.

• Proficiently maneuver through all electronic applications used for job operations.

• Perform any other job-related duties as needed, assigned and/or as requested.

• Adhere to SYHealth/SD PACE and HIS Department's policies and best practices, ensuring staff compliance to attendance and punctuality.

• Report any known or suspected unauthorized attempt to access facility's information system.

• Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position.

• Agree not to disclose assigned user ID code and password for accessing information and promptly report suspected or known violations of such disclosure to the Administrator.

• Follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures.

• Assist in organizing, planning, and directing the medical records department in accordance with established policies and procedures.

• Attend all mandatory meetings, maintain minutes of meetings. File as necessary.

• Retrieve, index, participant records (manually/electronically).

• Collect, assemble, check, and file participant charts as required.

• Ensure incomplete records/charts are returned to appropriate departments or personnel for correction.

• Assist in developing procedures to ensure records are properly completed, assembled, signed, etc., before filing.

• Maintain a record of authorized information released from charts/records, i.e., type information, name of recipient, date, department, etc

• Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, Department of Social Services, VA, etc. in accordance with current Privacy Rules.

• Log productivity daily and provide reports as directed.

• Coordinate documentation and record information with hospitals, other treatment facilities, or other outside organizations and track progress of requested materials.

Maintain request logs as directed including hospitalizations, emergent visits, urgent care visits, specialty consultations register requests for records, follow up dates, & retrieval date.

Additional Duties and Responsibilities:

• Adheres to all applicable SYHealth/SD PACE policies, procedures, protocols, and best practices.

• Demonstrates effective verbal and written communication skills in collaboration with teams to achieve quality, excellence, harmony and problem-solving to obtain stated goals and objectives.

• Demonstrates active listening skills, respect and a positive "Can Do" attitude.

• Enhances professional growth and development through participation in educational programs, reading literature to keep up-to-date related to Healthcare laws and Leadership, attending in-service trainings and workshops to improve upon knowledge and skillset.

• Attends meetings, as required, and participates on committees, as directed.

• Demonstrates professional behavior standard etiquette, courtesy, mutual respect, confidentiality and treats every patient and employee with dignity in every interaction.

• Exhibits a high level of integrity, ethics, transparency, leadership style and trust.

• Promotes and fosters respect for patient privacy by maintaining confidentiality on all patient EHR data and abides by both the HIPAA Privacy and Security rules.

• Demonstrates supportive skills in providing excellent customer service experiences.

• Provides coverage and assistance to other HIS areas within the department.

• Performs any other job-related duties as needed, assigned, or requested.

• Keep up to date with HIPAA regulations, Joint Commission on Accreditation of Healthcare (JCAHO) standards, Freedom of Information Act (FOIA), Privacy Act, and any State Regulations and Federal Regulations relating to Medical Records and Release of Patient Health Information.

Job Requirements:

Applicants at this level should be versed in medical terminology, medical records, Release of Information regulations, HIPAA regulations, and documentation requests. Should be able to identify medical records, categorize medical records and examine medical records for completeness, consistency, and compliance with Joint Commission on Accreditation of Healthcare (JCAHO). Applicants should also be self-directed and demonstrate ability to prioritize, demonstrate ability to remain flexible in rapid change environment and current health care dynamic climate.

Some examples of this qualifying experience are:

• Experience in discerning discrepancies or deficiencies and prepare written notifications for corrective action concerning patient records.

• Knowledgeable concerning the release of information under various methods including the FOIA and Privacy Act.

• Experience in developing various statistical reports to assist health service operations and be capable of retrieving information, conducting research, and analyzing records for completeness and compliance with standards.

• Experience in coordinating documentation and record information with hospitals, other treatment facilities, or other outside organizations and tracks progress of requested materials.

Education Required:

• Completion of associate degree or certificate program required.

• Bachelor's degree in a health care related field, B.A /B.S. in Health Information Management/Business Administration/Public Health preferred.

Certifications/Licenses Required:

• CA driver's license with appropriate insurance coverage required.

Certifications/Licenses Preferred:

• Registered health information technician RHIT/HIM Certification, Certified Nursing Assistance, Medical Assistant/Medical Terminology Certificate

Experience Required:

• A minimum of 2 years applicable work experience in area requiring strong attention to detail, acute care, and clinical experience in area of specialty. Proficiency with information systems and computer programs such as word, excel, etc Proficient knowledge and understanding of health information management, regulatory, and professional implications. Skilled in conflict management and resolution.

• Excellent critical thinking skills. Knowledge of team building skills and principles of self-managed work teams. Strong problem-solving abilities. Highly detail-oriented with a careful eye for quality control and presentation of work. Experience with Epic preferred.

Verbal and Written Skills Required to Perform the Job:

• Strong verbal communication skills; ability to articulate project status as needed, strong written communication skills. Good customer service Skills.

Technical Knowledge and Skills Required to Perform the Job:

• Knowledge of medical terminology and basic computer skills required. Medical records office procedures preferred. Must type 35 WPM. Ability to proficiently maneuver through all electronic applications used for job. Self-motivated and driven to produce results within tight deadlines and with maximum quality within allowed time constraints.

Equipment Used:

• Personal Computers, Software systems, Telephones, fax machine, Printer, and scanner device.

Working Conditions and Physical Requirements:

• Good organizational skills and ability to remain focused and concentrate with noise around.

• Ability to handle multiple job functions simultaneously.

• Ability to work with others as a team member.

• Prolonged, extensive, and considerable standing/Sitting/Walking/Lifting.

• Manual dexterity and mobility.

• Occasional travel (up to ~30%) as required.

Universal Requirements:

Pre employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs

About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.

Other details

• Pay Type Hourly

• Min Hiring Rate $25.03

• Max Hiring Rate $33.22

• Travel Required Yes

• Travel % 30

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• 8080 Dagget St, San Diego, CA 92111, USA