PACE Health Information Management Specialist

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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.

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.

Essential 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.

Supporting Responsibilities:

• 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.

SUCCESS PROFILE

Work Experience: A minimum of 1 year of relevant experience in Health Information Management is required.

Education, Certificates, Licenses: A high school diploma or equivalent is required.

Knowledge: 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.

Competencies

• Adaptability
• Building Customer Loyalty
• Building Strategic Work Relationships
• Building Trust
• Continuous Improvement
• Contributing to Team Success
• Planning and Organizing
• Work Standards

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.

Skills:

Compensation Disclaimer

The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.

Base Range:

$35,542.81 - $56,868.50

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.