Medical Record Specialist (24796)

Job Details: Job Location: Elysian Hospice - Houston - Stafford, TX 77477, Position Type: Full Time, Job Category: Leadership & Support Services, Location:Houston, TX

Qualifications:

• High school diploma required; Associate’s degree or certification as a Registered Health Information Technician (RHIT) preferred.
• Two (2) to three (3) years of experience in medical records management, health information management, or clinical documentation within hospice or home health.
• Strong working knowledge of electronic health record (EHR) systems, medical terminology, and Medicare hospice documentation requirements.
• Exceptional attention to detail and commitment to data integrity.
• Thorough understanding of HIPAA requirements and medical record confidentiality regulations

Essential Functions:

• Review clinical charts, physician orders, and face-to-face encounter documentation for completeness, required signatures, and compliance requirements.
• Manage electronic health record (EHR) systems, including record indexing, filing, organization, retention, and archiving activities.
• Coordinate medical record audits and documentation reviews with clinical leadership to identify compliance concerns and documentation gaps.
• Follow up with physicians and interdisciplinary team members to obtain missing signatures, documentation, certifications, and required records.
• Process authorized requests for medical records in accordance with applicable policies, privacy requirements, and record release procedures.
• Monitor, track, and report documentation deficiencies and compliance trends to operational leadership.
• Support health information management processes that promote accurate clinical documentation, regulatory compliance, and medical record integrity.
• Maintain confidentiality of patient information and ensure compliance with HIPAA and other applicable medical record standards.
• Perform other duties and responsibilities as assigned.

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

Please visit cantexcc.com for more information on this location.