Specialist, Compliance/Health Information

Job Description

REQUIREMENTS

• Associates Degree in Health Information Management or related healthcare field.
• Registered Health Information Technician (RHIT) or Certification in Healthcare Compliance (CHC).
• At least 3 years of experience in health information management, preferably in both outpatient and inpatient settings.
• Proficiency with MS Office and experience with EMR systems.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.

RESPONSIBILITIES

• Audit EMR documentation and data for accuracy, integrity, and compliance.
• Prepare for audits from DOH and CMS, monitoring all requirements for compliance.
• Audit internal processes and EMR documentation to identify and report compliance issues.
• Assist in implementing and maintaining the PACE CNY compliance program.
• Conduct functional and process audits, advising management on deficiencies and corrective actions.
• Compile monthly census and program reports for distribution.
• Ensure medical information is shared in compliance with state and federal regulations.
• Complete routine health information disclosures to participants and caregivers.
• Provide ongoing training related to privacy and monitor for potential breaches.
• Perform quality assurance functions for compliance with regulatory agencies and program standards.

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