Compliance/Health Information Specialist

Under the general direction and supervision of the Health Information Director/Designee, the Compliance/Health Information Specialist audits compliance with all regulations (clinical and non-clinical) pertaining to PACE CNY and the Diagnostic and Treatment Center (D&TC). This position assists the Director in departmental duties related to reporting, maintenance of electronic medical record (EMR) functions, auditing of health information activities, and other departmental tasks. Located onsite in Syracuse, NY; this is not a hybrid or remote opportunity.

Responsibilities

• Audits EMR documentation and data for accuracy, integrity, and compliance.
• Ensures information collected is complete, accurate, and in compliance with applicable federal and state regulatory requirements.
• Prepares for audits from DOH and CMS on a continual basis; monitors all requirements and audits for compliance.
• Shares audit findings with the Health Information Director and assists in corrective action planning.
• Audits internal processes, EMR documentation, and other data to ensure compliance with state and federal regulations, including identifying, investigating, and reporting compliance issues, irregularities, and violations.
• Assists in the implementation and maintenance of the PACE CNY compliance program, including review of the program and relevant staff training as requested.
• Conducts functional and process audits as directed; identifies deficiencies and potential corrective actions and advises management.
• Compiles monthly census and program reports and distributes accordingly.
• Ensures medical information is shared with, and received from, skilled nursing facilities, adult housing, and other entities as required by state and federal regulations.
• Completes routine health information disclosures to participants, family members, and other caregivers, ensuring compliance with all regulations.
• Assists with ongoing training related to privacy, monitors staff for potential breaches of confidentiality, and advises the Health Information Director of concerns.
• Performs departmental quality assurance functions required for compliance with regulatory agencies/laws and the program’s quality standards.
• Audits EMR-related record maintenance, releasing of health information, ancillary QA, discharge summaries, Part A Days, and follow-up of specialists’ reports.
• Summarizes findings and assists in developing, implementing, and monitoring plans of correction.

Requirements

• Associate’s Degree in Health Information Management or other related healthcare field.
• Registered Health Information Technician (RHIT) or Certification in Healthcare Compliance (CHC) required.
• At least 3 years of experience in health information management; a combination of outpatient and inpatient settings preferred.
• Experience in healthcare compliance strongly suggested.
• Proficiency with MS Office and ability to learn new software rapidly.
• Prior experience with EMR systems required.
• Knowledge and experience in a managed care environment highly desirable.
• Strong organizational, analytical, and time management skills with ability to prioritize work.
• Strong written and verbal communication skills.
• Attention to detail and accurate input skills.
• An equivalent combination of education and experience may be substituted for the above requirements.

Physical Requirements

• Walking/Standing: 15%
• Sitting: 80%
• Lifting: 5%

Benefits

• Excellent medical, dental, prescription, and vision insurance.
• Disability coverage.
• Tuition Reimbursement Program.
• 401(k) Retirement/Pension Plans.
• Discounted Gym Membership.
• Paid Time-Off Accrual.
• Fun events for employees.
• Convenient locations with free parking.
• Employee Coaches to help you achieve life goals.
• Diaper Assistance Program.
• Opportunity for career growth and movement within 19 sites.

Pay

$22.05 - $24.37 / hour