4,296 Information Governance Specialist jobs in the United States

Location:

Avera McKennan Hospital

Worker Type:

Regular

Work Shift:

Afternoon Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$17.25 - $22.00

Position Highlights

Hours: Monday-Friday 12:30p-9p; Every 4th Saturday 9a-5:30p

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

The HIM Specialist is responsible for the overall recording, dissemination, and processing of the medical record. This includes, but is not limited to, processing documents, scanning/uploading documents into the organization's electronic health record, identification of errors/omissions, handling internal and external customer requests for information, reviewing records for deficiencies, communicating appropriately, and preparing data elements for continuity of patient care and revenue cycle purposes. Attention to detail functions, monitoring chart content and data quality, and communicating with internal and external departments, customers and physicians is critical.

What you will do

• Retrieve records and documentation from departments throughout the facility. Reconciles to ensure receipt of appropriate documentation to form an accurate medical record.

• Process records to prepare documentation for scanning or uploading. Includes assembly, paper clean-up, removing unnecessary documents, and other duties as required. Scan and upload patient records by using appropriate software and hardware. Verify images to ensure clear and useable documents. Accurately assign the patient and form identification via bar-coded images or manually date entry into the electronic health record.

• Greet and assist patients, staff, and others to the HIM customer service area. Answer, route, and manage phone calls and voicemails in response to customer requests. Serve as a health information technical liaison with customers.

• Analyze electronic health records for quality, completion and identify deficiencies in conjunction with regulatory and internal requirements. Tabulate deficiencies and communicate to department or physician staff to resolve issues. Abstract clinical, financial, and demographic data items into the electronic health record. Monitor electronic record to completion.

• Assist with patient identity edits, merges, and overlays within the electronic health record system to ensure record integrity.

• Prepares birth certificate documents, meets with parents for clarification of items, enters data into the electronic state registry, and notarizes paternity affidavits in accordance with state vital record requirements

• Maintain relevant productivity and quality standards for the position.

• Adhere to all legal and ethical standards surrounding health information, including, but not limited to, the Health Insurance Portability and Accountability Act (HIPAA) and other applicable state and federal laws.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Preferred Education, License/Certification, or Work Experience:

• 1-3 years previous health information management experience.

Expectations and Standards

• Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.

• Promote Avera's values of compassion, hospitality, and stewardship.

• Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.

• Maintain confidentiality.

• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.

• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.

• Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan

• Up to 5% employer matching contribution for retirement

• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.

The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at .

Additional Notices:

For TTY, dial 711

Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.

• Supports care teams under general supervision, but according to established policies and procedures, answers requests for confidential health information. Discloses health information in compliance with Rhode Island General Laws, Federal Public Health Laws, HIPAA Privacy Regulations and PCHC policies and procedures.
• Reviews and conducts chart reviews of the clinical documentation in the patient's electronic medical records to obtain and/or retrieve the most accurate and complete physician's documentation that appropriately supports the patient's encounter.
• Function as Health Information Associate as needed.

• Demonstrates a complete understanding of the release of information process, including Rhode Island General Laws, Federal Regulations, Public Health Laws, HIPAA Privacy Rules and PCHC policies and procedures as they relate to obtaining or disclosing medical, dental, behavior health and billing information related to patients' treatment and services provided by PCHC.
• Handling all requests and inquiries for patient information; dispersing the information with accountability to all regulatory entities and according to policy and procedure, including:
  1. Reviews authorizations for release of information and validates that it is complete, accurate and in compliance with HIPAA Privacy Regulations, Rhode Island General Laws, Federal Public Health Laws and PCHC policies and procedures. If the request is invalid, returns the request with an explanation and requests a valid authorization.
  2. Analyzes requests for health information, abstracts pertinent portions of health records, copies, mails and/or releases in accordance with PCHC policies and procedures to safeguard patient confidentiality.
  3. Screens health records for any confidential information that is not covered under a general authorization.
  4. Prepares and documents invoicing for requests requiring payment.

• Knowledge of Rhode Island State and Federal laws/regulations and HIPAA Privacy regulations regarding release of information required.
• Analytical abilities and good judgment necessary to evaluate, often under pressure, the legal rights of requesting parties.
• Ability to read/write/speak English required.
• Excellent communication skills required.
• Presentation skills preferred.
• Medical terminology required.
• Proficient computer skills are required including working with Microsoft word and windows based application for data entry. Excel and PowerPoint experience preferred.
• Ability to communicate with people of various diverse backgrounds in a sensitive and compassionate way.

• High School diploma or equivalent required.
• Completion of a two year program in Health Information or equivalent experience typically acquired by two years current experience working in Health Information required.

Job Type

Full-time

Description

As a Compliance & Information Specialist, you will ensure the company's compliance with state and federal regulations related to professional services licensing, registration, contractual requirements, and internal governance. You will maintain accurate, audit-ready compliance records, proactively monitor regulatory changes, and collaborate across Legal Affairs, Accounting, IT, Marketing, Communications and other corporate groups to organize and manage governing documents in accordance with industry standards and document retention policies.

Essential Duties and Responsibilities

• Manage the application and renewal processes for company licenses and registrations, including preparing forms, gathering documentation, and submitting to licensing boards and third-party providers.
• Ensure the firm and its licensed professionals adhere to all relevant laws, rules, and regulations related to engineering, earth sciences, and other licensed professions; act as a subject matter resource for technical staff.
• Maintain accurate, up-to-date records of all licenses held by the company and its employees, tracking expiration dates, renewal requirements, and compliance deadlines.
• Communicate with licensing boards, engineers, licensed professionals, company officers, and other stakeholders regarding licensing and registration matters; resolve and escalate issues as needed.
• Provide training and education on licensing, registration, and compliance requirements through presentations, workshops, and written resources.
• Conduct internal compliance audits and risk assessments to evaluate adherence to licensing, contractual, and regulatory obligations; document findings and collaborate on remediation plans.
• Monitor changes in laws, regulations, and industry standards, and update company policies and procedures accordingly.
• Establish and track compliance performance metrics (e.g., renewal timeliness, audit exception rates) and benchmark against industry best practices.
• Work with the IT and Communications teams to design and maintain intuitive systems for retention of technical resources on the company intranet and in hard copy format, ensuring compliance with copyright regulations.
• Partner with Marketing and technical staff to perform conflict-of-interest checks in compliance with company policies, client procedures, and ethical standards; escalate issues to General Counsel as necessary.
• Analyze internal business systems to identify compliance gaps and recommend process improvements.
• Create, review, update, and implement company policies to support compliance and effective business practices, maintaining a regular policy review cycle.
• Liaise with department heads to ensure business operations remain compliant with applicable regulations, industry standards, and company policies.
• Other projects and duties as assigned.

• Bachelor's degree in business management, legal studies, business administration, project management, or related field; Master's degree or relevant professional certifications (e.g., Certified Compliance & Ethics Professional - CCEP) preferred.
• 3+ years of experience in an information services role within a professional geoscience, engineering, or other technical/scientific setting.
• Knowledge of engineering industry standards, rules, and regulations or a legal background preferred.
• Experience with compliance audits, risk assessments, and remediation planning.
• Proficiency in Microsoft Office suite (especially SharePoint, Excel, and Outlook). Smartsheet experience preferred.
• Strong skills in information retrieval, data management, cataloging, and indexing.
• Excellent interpersonal, verbal, and written communication skills.
• Strong analytical and problem-solving abilities; capable of interpreting technical information and making sound compliance recommendations.
• Ability to work independently with initiative, meet deadlines, and adapt to changing requirements.

• All candidates are subject to completing a background check, and reference check.
• Normal office environment with moderate noise levels.
• Occasional lifting of up to 25 lbs.
• Prolonged sitting, regular walking, bending, standing, and reaching.
• Frequent computer work with prolonged viewing of a monitor.
• Willingness and ability to travel occasionally.
• All employees are responsible for conducting their work in a safe manner. This includes identifying potential safety hazards and reporting them to the designated project manager in a timely manner and participating in project safety briefings. This also includes wearing appropriate safety equipment when working in the field and completing all required health & safety training prior to beginning field work.

The Health Information Specialist I is responsible for helping to ensure that personal health information is released in accordance with state and federal laws. The Health Information Specialist I coordinates with the patient care team to request records to assure continuity of care. The Health Information Specialist I organizes incoming health information and distributes records appropriately to internal staff. The Health Information Specialist I aggregates vital information to provide a complete medical record and assist in meeting quality measures.

Essential Duties:

• Maintains and distributes all personal health information in accordance with all Federal laws including HIPAA, state laws, and applicable regulations.
• Collaborates with all internal departments to ensure proper protection, privacy, and accuracy and completeness of patient health records.
• Communicates personal health information effectively with external organizations on behalf of patients and providers to support continuation of care.
• Organizes and aggregates all incoming patient health information pertinent to our standard quality measures to assist in record completion that will lead to high quality patient care.

• Receive and process requests for patient health information in accordance with company and facility policies.
• Safeguard patient records and ensure strict compliance with HIPAA and privacy regulations.
• Prepare and organize new patient charts, gathering documents from both paper and electronic health record (EHR) systems.
• Digitize documents and create accurate electronic records.
• Retrieve and transmit patient records to authorized parties while maintaining security and documentation standards.
• Answer inbound and outbound calls and assist with patient walk-ins as needed.
• Support administrative tasks such as handling faxes, opening mail, and performing data entry.
• Monitor workflow, communicate site challenges to management, and meet productivity and accuracy metrics.
• Participate in process improvements and share feedback to enhance operational efficiency.

• High school diploma or GED.
• Basic computer proficiency, including familiarity with phones, fax machines, printers, and general office equipment.
• Strong attention to detail and data entry accuracy.
• MediClear Certification (or equivalent healthcare compliance credential) required.
• Professional verbal and written communication skills.
• Ability to work independently while adapting to changing priorities.

• Experience in a healthcare, health information management, or medical records environment.
• Prior production/metric-based work experience.
• In-person customer service experience with the ability to build client relationships.

• Competitive hourly wage with opportunities for growth.
• Full benefits including medical, dental, and vision insurance , paid time off (including major holidays), 401(k) with company match, and tuition reimbursement.
• Career development programs and advancement opportunities within a leading health data company.

Care Initiatives is seeking a Health Information Specialist to join our team! As the largest single operator of quality nursing homes in Iowa, Care Initiatives has over forty (40) skilled nursing communities, seven (7) hospice offices (and growing!), plus our own internal staffing agency. We are committed to providing exceptional care and support at every stage of the healthcare journey.

The Health Information Specialist manages and responds to requests for the release of protected health information (PHI) and other business documentation designated as confidential or sensitive from residents, tenants, patients to third-party payors, CMS, and other requestors as appropriate. This position also ensures that such information is disclosed in accordance with applicable laws, regulations, and internal policies.

What you'll do as the Health Information Specialist:

• Receive, log, and process requests for the release of medical records in accordance with company policies/procedures and applicable laws and regulations.

• Determines records to be released by reviewing requestor information in accordance with HIPAA and/or other state or federal guidelines.

• Obtain and assemble applicable medical records from various sources (including electronic and physical records) responsive to the request for release.

• Communicate with the requestor and release records in a timeline and secure manner.

• Assist site location teams related to medical records, including fielding questions and provide assistance with the conversion of physical records into an electronic format.

• Develop and implement processes and procedures to improve the efficiency, organization, and communication regarding the release of records.

• Provide general support to the Clinical Reimbursement Department and other departments related to a wide range of other issues, including reports, audits, and quality assurance activities,

• Perform other related duties and projects as assigned.

What it takes to become our Health Information Specialist:

Education/Certification/License

• Bachelor's degree

• Licensed as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Pathologist, preferred.

• Registered Health Information Technician (RHIT®) certification from the American Health Information Management Association (AHIMA) preferred.

Experience

• At least 3 years of related experience in healthcare working with medical records

• Experience in long-term care, skilled nursing or hospice experience strongly preferred

• Experience with PointClickCare and/or MatrixCare Brightree preferred

• MDS experience preferred

Apply now and embark on a rewarding career journey with Care Initiatives!

Committed to attracting and retaining a diverse staff, Care Initiatives will honor your experiences, perspectives, and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

Care Initiatives is an Affirmative Action and Equal Opportunity Employer. Care Initiatives complies with applicable federal civil rights laws and does not discriminate based on race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, gender expression, marital status, parental status, genetic information, protected veteran status, or any other characteristic protected by law.

Job Details

Job Family HO Non-Exempt

Pay Type Hourly

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?

WHAT WE'RE ABOUT

We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction.

Requirements :

• You care

Health Information Specialist Perks:

• Generous Bonuses
• Growth Opportunities - DOUBLE your salary
• Health Benefits

Position Summary:

Is responsible for maintaining medical records in accordance with federal and state guidelines, as well as with Company's established policies and procedures.

Duties and Responsibilities:

• Complies with all company and departmental policies and procedures.
• Assists in preparation of medical record for new admission, completing data required to meet Licensing and Certification requirements, and facility policies and procedures.
• Assembles new admission registers and indexes and codes diagnoses.
• Performs data entry duties for MDS and physician orders as directed.
• Performs medical record audits and re-audits as directed and submits to appropriate parties.
• Collects charts, assembles them in proper order, and inspects them for completion. Ensures incomplete records/charts are returned to nursing service for correction.
• Maintains a record of authorized information taken from charts/records, i.e., type of information, name of recipient, date, department, etc.
• Assures that medical records taken from the department are signed out and signed in upon return to the department.
• Abstracts information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
• Indexes medical records as directed.
• Mails physician telephone orders on daily basis. Tracks return and notifies supervisor of delinquent physicians.
• Prepares reports for physicians as necessary.
• Completes medical record thinning and filing on a regular basis. Files active and inactive records in accordance with established policies.
• Retrieves medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.)
• Assists in transfer and discharge process as necessary.
• Completes Medicare certifications and recertifications.
• Assembles discharge records; obtains discharge summary for each discharge record, follows up as indicated.

Qualifications:

• 1-2 years' health care related experience preferred, previous experience in Skilled Nursing environment desirable
• High school diploma or equivalent required
• Knowledge of medical terminology preferred
• Willing to work beyond normal working hours, weekends, holidays, and/or on other shifts and in other positions, when necessary
• Must be able to read, write and speak the English language sufficiently and comprehensibly enough to perform the essential functions of the job
• Must be knowledgeable of nursing/medical practices and procedures, and/or terminology, laws, regulations, and the guidelines that pertain to long-term care
• Sufficient computer skills including proficiency in Microsoft Office, Outlook, and /or Internet to perform required duties.

Benefits :

• Medical insurance with Rx benefits
• Dental insurance
• Vision care
• Paid vacation

• $18.47-$22.62/hour DOE with the ability to go higher for highly experienced candidates
• An additional 4% pay for bilingual (English/Spanish) candidates
• 100% employer-paid health insurance including medical, dental, vision, Rx, 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

• Receives requests for medical and dental records from various parties, including patients, healthcare providers, insurance companies, and legal entities.
• Review requests to verify their validity and ensure they contain the required information.
• Ensures the indexing and release of medical information comply with all relevant privacy and security regulations according to HIPAA and YVFWC policies and procedures.
• Retrieve and process the requested medical records from various sources, such as the EPIC e-Medical and e-Dental system(s), paper charts from Iron Mountain, and imaging systems. Electronically tracks the delivery of records and documents that are in patient accounts.
• Reviews all incoming digital scanned or faxed documents received and indexes documents by assigning keywords using the Document Management
• System (OnBase) and EPIC e-Medical and e-Dental system(s).
• Ensures scanned documentation is free from errors and accurately indexed, using electronic fax software (RightFax) to route documents to the provider to review and sign.
• Ensures the security and confidentiality of sensitive documents while indexing, processing, and releasing documentation.
• Assists staff, clinic, or requestor with questions regarding scanned documents, medical record requests, and/or general compliance expectations.
• Collaborates with internal teams such as Information Systems (IS), Compliance, and front and back office clinical departments to facilitate the sharing and retrieval of documentation and/or troubleshooting issues.
• Answers incoming calls and processes incoming mail.
• Conducts investigations and monitoring as requested.
• Performs other duties as assigned.

• Required Education : High School Diploma or General Education Diploma (GED). Coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA), and compliance preferred.
• Preferred Experience : At least one year of healthcare compliance and/or medical records experience.
• Knowledge/Skills/Abilities : Bilingual (English/Spanish) preferred. Must demonstrate the ability to communicate at level 9 on the language proficiency scale to receive bilingual differential pay. Knowledge of medical terminology, medical records practices, investigations, and policies and procedures, including the Health Insurance Portability and Accountability Act (HIPAA). Strong knowledge of HIPAA, Oregon, and Washington privacy laws, medical records laws, and their exceptions. Knowledge of clinical workflows, Document Management Systems, and the EPIC e-Medical and e-Dental system(s). Strong analytical, decision-making, and problem-solving skills. Effective verbal, written, and listening communication skills. Strong customer relations skills, including the ability to manage stressful situations. Strong attention to detail and accuracy. Ability to prioritize work and handle a variety of tasks simultaneously in a fast-paced environment. Ability to exercise independent judgment and decision-making. Ability to handle sensitive situations and confidential information with discretion. Ability to develop effective working relationships with internal and clinical staff. Basic proficiency with a variety of computer programs, including Microsoft Outlook, Word, Excel, First Source, and EHR.

• Daily Pay option NOW AVAILABLE!
• Tuition reimbursement
• Benefits after 60 days
• Company paid life insurance
• Tickets at Work Perks
• Paid time off
• 401k
• Continuing education
• An engaging work environment
• Growth opportunities plus so much more!

• 1-3 years' experience with Medical Record organization, maintenance and compliance
• Health Information Management (HIM) degree a plus!