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).

　　Supervision Exercised:  No

　　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.

　　What We're Looking For:

　　Education Required:

　　Associate degree or equivalent experienceExperience Required:

　　2 years’ experience in a medical office or equivalent combination of education and experience.Knowledge, Skills & Abilities Required:

　　Knowledge of medical terminology, anatomy and physiology, medical procedures, medications, and laboratory test both one on one and in group settings.

　　Ability to function in a faced paced setting with a variety of patients and staff.

　　Attention to details and prompt follow up

　　Interest in professional growth

　　Language(s) Required:

　　English

　　Secondary language is not required but a plus

　　EEO is The Law

　　Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

　　Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.