Health Information Specialist/ Medical Records

Position Summary

Responsible for the confidentiality, custody, preparation, review, analysis, retention, destruction and preservation of all resident health information in the community. Responsible for knowing and following all related regulations, including HIPAA. Assigns and audits the work of department personnel.

Essential Duties

• Insures all statistical and identification data related to resident is maintained.
• Assists in the admission process by preparing and auditing all necessary documentation.
• Responsible for ensuring health information is kept confidential and is in compliance with federal and state regulations; report’s findings to appropriate personnel.
• Oversees release of health information to authorized personnel.
• Responsible for auditing the discharge process of residents and transfer of records to appropriate responsible party.
• Monitors physician certifications for Medicare, Medicare advantage, and other covered stays per defined procedures.
• Provides educational training to other staff on confidentiality issues and changes or updates of state or federal regulations.
• Responsible for developing and providing oversight of the department budget.
•  Assists in ensuring the security and maintenance of electronic records.
• Other duties as assigned.