Health Information Coordinator-PACE (Riverside)

Job Description

Job Description

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.

As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 100,000 people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.

The Health Information Coordinator will assist and coordinate administrative and operational activities for PACE medical records. This role will work with PACE Clinic teams, PACE management, Compliance Officers, and IDT members on activities related to medical records and keeping track of care plans, participant enrollment, and dis-enrollments processes. Additionally, this role will maintain control of participant clinical and non-clinical records.

Schedule: Monday-Friday: 8am-5pm. This position is onsite.

Responsibilities

• Tracks medical records and serves as subject matter expert for electronic medical record (EMR) systems
• Responds and coordinates with departments regarding requests for system support, such as IT or outside vendors for assistance in resolving system issues
• Processes and scans reports from charts into EMRs in permanent file area
• Release records according to confidentiality guidelines
• Removes inactive charts from permanent file area and relocates to offsite locations
• Answers phones, operates fax machines, and assists providers with medical records, as needed
• Impact participant experience by demonstrating courteous and helpful behavior and a commitment to accuracy
• Works closely with management and the Compliance Department to create, update, and implement medical records
• Facilitates and keeps minutes of meetings, as needed
• Assists MSWs with dis-enrollments and participant documentation
• Prepares and tracks service request documents and composes denial of service letters, as needed
• Maintains logs for tracking participant service request appeals and denials
• Maintains awareness and reports potential fraud, waste, and abuse to management, compliance officers, or Neighborhood’s compliance hotline
• Liaises between Neighborhood and external medical records vendors and contractors
• Tracks and coordinates participant institutionalizations, discharges, etc., including updating information as needed in the EMR
• Communicates changes in participant condition to IDT
• Communicates and interacts with patient caregivers and/or family members, as needed

Qualifications

Education/Experience

• High school/GED required
• One year of experience working with elderly populations required
• Six months of medical records experience required
• Medical compliance, ethics, patient confidentiality, and administration training preferred
• Bilingual (English/Spanish) preferred
• Current Basic Life Support (BLS) certification required upon hire and must be maintained as a condition of employment. These courses must follow AHA guidelines- may be completed through approved online providers such as ProMed or other equivalent programs that meet recognized BLS standards.
  • In addition, current CPR and First Aid certification are required for all PACE employees in accordance with CMS and DHCS requirements. First Aid training will be provided at onboarding and must be renewed annually.

Additional Qualifications(Knowledge, Skills and Abilities)

• Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Knowledgeable about and experience with providing care for geriatric patients
• Ability to apply analytical and critical thinking skills to resolve patient information issues
• Ability to successfully manage multiple tasks simultaneously
• Excellent planning and organizational ability
• Ability to work as part of a team as well as independently
• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 10 lbs/weight
• Ability to stand for long periods of time

Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!

Pay range: $22.88 to $32.04 per hour, depending on experience.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.