Health Information Coordinator-PACE (Riverside)

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.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization you would like to be a part of, we would love to meet you.

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 : 8 : 30am-5pm(30 minute lunch)

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

Additional Qualifications(Knowledge, Skills and Abilities)

Physical Requirements

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, education and additional qualifications.

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.