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Health Information Specialist

Company: Care at Home
Location: Lawrence
Posted on: August 6, 2022

Job Description:

Job Description

Job Description

Responsible to organize and manage health information/patient health record data. - Ensures quality, accuracy, accessibility and security of both paper and electronic health record systems. - Uses various classification systems to code, categorize, manage, audit and secure patient information to support reimbursement, manage databases/registries and to maintain patients' medical and treatment histories. - Provides day to day operational supervision of site based medical records clerks.


Compile, process, archive and maintain patient health records in a manner consistent with medical, administrative, ethical, legal and regulatory requirements -

Protects the security of medical records to ensure that confidentiality is maintained in paper and electronic formats.

Release information to persons or agencies according to HIPAA, DPH, ERISA -guidelines and regulatory requirements.

Process, store and retrieve admission and discharge electronic health information according to policies. -

Participate in order distribution, tracking, assessing and archiving functions as requested.

Prepare statistical reports, narrative reports, clinical reports or graphic presentation of information for submission to internal or external agencies/registries

Identify, compile, abstract and code patient data using standard classification systems as assigned.

Assist in resolution or clarification of missing or unclear documentation by consulting with doctors, clinicians or others and/or by participating in team meetings.

Process and prepare business or government forms as assigned. -

Oversee forms management functions for all companies.

Assist in training other staff in medical record and documentation standards.

Assists in ensuring correct key attributes (i.e. start of care dates, certification dates, recertification date spans, face to face encounter dates) and work lists are managed and addressed.

Responsible for completion of audits and reporting related to health information accuracy, -billing and compliance to regulations.

Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control/care improvement efforts.

Assure Agency compliance with all federal and state laws as well as adhering to Corporate Compliance policy in the prevention of fraud and abuse.

Keywords: Care at Home, Lawrence , Health Information Specialist, Healthcare , Lawrence, Massachusetts

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