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Loretto · 17 hours ago

Compliance/Health Information Specialist,

Syracuse-Auburn Area

Full-time

Onsite

Mid Level

$22.05/hr - $24.37/hr

3+ years exp

Loretto is a healthcare organization seeking a Compliance/Health Information Specialist responsible for auditing compliance with regulations related to PACE CNY and the Diagnostic and Treatment Center. The role includes managing electronic medical records, conducting audits, and assisting in compliance program implementation.

Health CareHospitalHospitality

Diversity & Inclusion

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 this information with the Health Information Director and assists in corrective action planning

Audits internal processes, EMR documentation and other data to ensure compliance with applicable state and federal regulatory requirements, including identifying, investigating, and reporting compliance issues, irregularities, and violations to the Health Information Director

Assists in the implementation and maintenance of the PACE CNY compliance program, including review of the program and relevant staff training as requested by the Health Information Director

Conducts functional and process audits as directed by the Health Information Director; identifies deficiencies and potential corrective actions and advises management of same

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 state and federal regulations

Assists with ongoing training to all employees related to privacy, monitoring of program and staff for potential breaches of confidentiality, advises Health Information Director of concerns and assists with corrective action planning

Performs departmental quality assurance functions required for compliance with regulatory agencies/laws as well as the program’s quality standards. Audits EMR related record maintenance and the releasing of health information, ancillary QA, discharge summaries and Part A Days plus follow up of specialists’ reports, etc. Summarizes findings; assists Health Information Director in developing, implementing, and monitoring plans of correction as appropriate

Qualification

Health Information ManagementCompliance AuditingEMR SystemsRHIT CertificationCHC CertificationHealthcare ComplianceMS Office ProficiencyAnalytical SkillsAttention to DetailOrganizational SkillsCommunication SkillsTime Management