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 Medical Record (EMR) Request and review EMR 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).
What You'll Be Doing
- Upload patient documentation into CCA’s electronic medical record (eCW)
- 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 EMRs in preparation of HEDIS review, ACA and MDS 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 48hours.
- Other responsibilities and duties as assigned.
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