Massachusetts Healthcare Jobs

Why This Role is Important to Us:

Under the guidance of the Manager of Health Information Management, the HIM Specialist I is responsible for following processes to ensure compliant release of records, request for records and accurate data entry into CCA’s Electronic Health Record (EHR) system. Request and review EHR from partnering organizations to obtain pertinent member documentation (narrative notes, physical exam, lab values, vital signs, medications, diagnoses and clinical parameters, including health maintenance data).

Supervision Exercised: No

What You'll Be Doing:

• Upload patient documentation into CCA’s electronic medical record (eCW & Guiding Care)

• Communicates any identified discrepancies in documentation or collected data to the HIM Manager.

• Communicates to HIM Manager any providers who are unwilling to send CCA requested clinical information.

• Gather and log data obtained or released by CCA for tracking and metrics.

• Obtain documentation from outside EHRs in preparation of HEDIS review, annual, and semi-annual assessments.

• Request and review paper records from external organizations if/when EMR is not accessible.

• Provide and obtain release of information documentation to and from members, clinicians, partnering organizations.

• Responsible for recording accurately and consistently in CCAs electronic medical record.

• Support clinical teams by obtaining medical record requests in a timely manner

• Process Ad hoc telephone encounters and new enrollments within set department standards.

• Other responsibilities and duties as assigned.

What We're Looking For:

Education Required:

• High school or GED diploma required.

• Associates or bachelor’s degree in healthcare, IT or related field will substitute 2 years’ experience requirement

Experience Required:

• 2 years’ experience in Health Information Management, medical office or equivalent combination of education and experience.

Knowledge, Skills & Abilities Required:

• Knowledge of medical terminology, and HIPAA

• Ability to work independently

• Ability to maintain confidentiality

• Ability to multi-task

• Ability to efficiently function in a fast paced environment.

• Attention to details and prompt follow up.

• Ability to work in a hybrid work setting.

Language(s) Required:

• English

• Secondary language is not required but a plus.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.