CITC ENTERPRISES, INC.

JOB DESCRIPTION

Job Title: Health Information Management Specialist

Department: Finance 

Reports To: Senior Director of Special Projects

Supervises: N/A

FLSA Status: Exempt

Pay Grade: E7

Job Type: Regular, Full-Time

AKBCU:NoICPA: No

General Functions:

The Health Information Management Specialist is responsible for all activities related to the development, implementation, and maintenance of health information in compliance with federal and state laws and generally accepted HIM best practices. The position oversees and supports standardization of forms and processes and maintains policies and procedures across CITC for Health information Management. Oversight includes system maintenance in preserving and protecting the confidentiality of participant health information and overseeing document capture workflows. Ensures medical records are maintained in accordance with state regulation and CITC retention policy. Responsible for disclosing Protected Health Information (PHI) within established timeframes while being compliant with regulatory requirements. Serves as the custodian of record designee. Promotes interoperable electronic exchange of data to achieve clinical and financial outcomes. Participates in Health Information decision making to achieve operational and organizational goals.

Duties and Responsibilities: 

• Develops policy/procedures related to the maintenance, control and release of medical records while ensuring organization/government/regulatory/accreditation compliance requirements. Provides education/document distribution to all staff/departments designated with responsibility. Performs annual policy/procedure review/updates as needed.
• Coordinate and/or respond to requests for information from subpoenas.
• Acts as the custodian of medical records
• Ensures regulatory compliance for electronic interoperability data exchange and PHI disclosures for the legal medical record to ensure HIPAA compliance.
• Coordinate the development, revision, and review of all forms used.
• Oversees the duplicate medical record function.
• Analyzes and compiles operational data. Recommends operational/system modifications or new implementations as needed.
• Evaluates and implements effective best practice HIM workflows; maintains current HIM industry standard knowledge base providing guidance to other departments/programs for optimal, effective organizational workflows as the HIM subject matter expert.
• Promotes a positive, team-work environment performing best practice workflows.
• Provides leadership and direction to multiple system-wide functions of the Health Information Management (HIM) including Data Management, Data Integrity, Forms, Release of Information, and Chart Correction.
• Participates in quality improvement initiatives for electronic health information systems for data completion.
• Participates in monitoring, evaluating, educating, and improving the quality of health information; identifies problems, track trends, and initiates actions to improve performance towards achieving organizational standards.
• Oversee the maintenance of data integrity and quality through system management activities by ensuring data integrity is abstracted and mapping consistent with guidelines outlined by CARF, Alaska Regulations, and CITC and department policy.
• Oversees the provider credentialing process.
• Documents system and processes.
• Other duties as assigned.

Job Specifications: 

• Communication: Ability to synthesize requirements and produce well written documentation. Strong oral and written communication skills.
• Problem-solving: Analyze data and draw sound conclusions. Advanced analytical and problem-solving skills.
• Collaboration: Work positively with team members of diverse backgrounds.
• Adaptability: Flexible and eager to take new challenges.
• Time management: Prioritize tasks and work effectively under pressure.
• Inclusive mindset: Value diversity and peers of all backgrounds.
• Willingness to learn: Seek opportunities to expand skills and knowledge. 
• Proficient in Microsoft Office Suite
• Report Writing Skills

Job Responsibilities Related to Participant Privacy:

• Employee is expected to actively participate in CITC privacy training and to protect the privacy of participant information in accordance with CITC's privacy policies, procedures and practices, as required by federal and state law. Failure to comply with CITC's policies and procedures on participant privacy may result in disciplinary action up to and including termination of employment.
• Employee may access protected health information and other participant information only to the extent necessary to complete job duties. Employee may only share such information on a need to know basis with others who have job responsibilities related to treatment, payment, or other CITC operations.
• Employee is encouraged and expected to report, without the threat of retaliation, any concerns regarding CITC's policies and procedures on participant privacy and any observed practices in violation of the policy to the designated Privacy Officer. 

Minimum Core Competencies: CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.

Minimum Qualifications: 

• Bachelor’s Degree in Health Information Management or related field. Relevant work experience may substitute for the education requirement on a year-for-year basis.
• Three (3) years of Health Information Management experience
• Familiarity with Electronic Health Records Systems (eg: CareLogic)
• At least one of the following certifications:
  1. RHIA - Registered Health Information Administrator
  2. RHIT - Registered Health Information Technician

Preferred Qualifications

• Experience in leading a Health Information Management function
• Experience implementing and using CareLogic EHR system
• Experience managing provider Credentialing
• Experience working with SAAS applications
• Graduate degree and/or applicable industry certification

Physical Requirements:

NATIVE PREFERENCE STATEMENT: Pursuant to the Indian Self-Determination and Education Assistance Act of 1975 (PL 93-638) and as further guided by CITC’s Native Preference Policy 6.120, CITC maintains preference in all phases of employment for Alaska Native, American Indian (AN/AI) and Native Hawaiian people, including direct lineal descendants and foster or traditionally adopted children. Also included are non-Native head of household members for Native families, which includes foster or traditionally adopted Native children.

Disclaimer

The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not intended to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications, and working conditions required of employees assigned to this job. Management has sole discretion to add or modify the duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.

 3/4/24