HIM & Education Specialist

WELLBE INTRODUCTION

The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients.  This population is typically underserved and very challenged with access to care.   To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care.  WellBe's physician/advanced practicing clinician led geriatric care teams’ partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum.

OBJECTIVES

The Health Information Management (HIM) and Education Specialist is responsible for providing Release of Information (ROI), indexing, record recovery (“paper chase”), EpicCare Link monitoring, dismissal letters, and vaccine registry services.  This position may also work collaboratively with the New Market Launch team to assist in training and implementing health information management services in new WellBe markets.        

GENERAL SUMMARY

• Develops relationships with Emergency Department and Care Management personnel in the hospital and Skilled Nursing Facility settings.
• Uploads and distributes daily incoming faxes as needed.
• Distributes records and diagnostic results in a timely manner to appropriate practitioners.
• Uses the AaNeel task function to communicate, coordinate, and manage medical record requests.
• Monitors the daily census at assigned hospital/skilled nursing facility and requests/indexes records on an as-needed basis.
• Completes “pull lists” (medical record audits, HEDIS, RAF, RADV).
• Processes record requests related to: (1) legals, (2) government, (3) patients, (4) continuity of care, and (5) internal peer review/quality purposes; collaborates with the Compliance Officer and Executive Director, Enterprise Risk Management on Legals, government, and peer review requests.
• Maintains state immunization databases for patient vaccinations.
• Protects the security of medical records to ensure compliance is maintained.
• Conducts market research of hospital data to analyze market trends.
• Obtains access to medical records in the facility setting and assists with medical records transfers to WellBe practitioners for review.
• Scans paper documents (when necessary) and indexes into the appropriate patient chart.
• May serve as the market liaison between the Health Information Management and New Market Launch departments; as such attends periodic New Market Launch meetings.
• Educates licensed and non-licensed practitioners and administrative staff on the process and policies for medical records.
• Other duties as determined.

SKILLS & COMPETENCIES

To perform the job successfully, an individual should demonstrate the following competencies:

• Excellent detail orientation and organization skills
• Ability to maintain confidentiality
• Strong written and verbal communication skills
• Effective interpersonal skills

QUALIFICATIONS

Educational/Experience Requirements

• High school graduate or equivalent
• 6+ months of medical records experience
• Basic understanding of records management
• Knowledge of HIPAA and state release of information rules
• Windows-based computer skills

Required Skills and Abilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory Responsibility:  No supervisory responsibilities.    

Travel Requirements:  Periodic travel may be required for new market launch education.

Work Conditions: Office environment, climate controlled, with overhead lighting.

Physical Demands: The physical demands described here are representative of those that must be met by a colleague to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the colleague is regularly required to use hands to finger, handle, or feel; talk and hear. The colleague frequently is required to stand, sit, and reach with hands and arms. The colleague is occasionally required to walk; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The colleague must frequently lift and/or move more than 35 pounds. Specific vision abilities required by this job include close vision.

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification.  Management reserves the right to add, modify, change or rescind the work assignments of this position.  Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.