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Health Information Management Specialist II

Family Health Centers of San Diego
$25.50 - $31.55
United States, California, San Diego
Apr 09, 2026

For more than55 years, Family Health Centers of San Diego's (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons.

FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy.

Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women's care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management.

The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.

Job Roles
* Prepares patient charts for upcoming visits; reviewing for open orders, incomplete documentation, follow up for ER/ED visits, open referrals, and addition of pending results.
* Coordinates the release of medical information, following all department and regulatory guidelines. Verifies authorizations, records incoming requests, processes requests, and communicates with requestor.
* Provides customer service for department, including answering phone calls, greeting visitors, taking messages, and routing faxes.
* Reviews medical records for accuracy and completeness. Participates in a variety of Quality Assurance, Quality Control, and data abstraction as assigned.
* Produce accurate and precise work in a fast-paced and high-volume environment.
* Ability to adapt to sudden changes in priority work demand.
* Navigate numerous internal and external applications and systems in the course of work completion.
* Meet daily productivity requirements based on assigned goals and metrics.
* Adhere to established protocols for reviewing medical records and determining what records necessitate interpretation by the ordering or requesting provider and sends them in a timely manner.
* Master standardized documentation and template rules and protocols for electronic health records to include document naming, filing, and obtaining records.
* Generate billing statements and record all billing activities.
* Apply broad knowledge of HIPAA and Privacy rules and regulations, for sharing PHI.
* Link and close associated orders and encounters while obtaining records when such orders or encounters are directly related to the records obtained.
* Provide great customer support to clinical staff by phone and email.
* Communicate significant findings in the course of daily work duties, including potential risk management issues, to leadership and other members of the team.
* Demonstrate strong command of medical terminology, medical record documentation, and clinical processes.
* Integrate data collected from a variety of electronic and paper sources.
* Work closely with the entire HIM management team to identify process issues related to E-HR and HIM workflow and offer recommendations for resolutions or modifications particularly as it relates to the paper/electronic interface and the daily workflow.

Education/Certifications/Licenses/Registrations
* High school diploma or GED Required.
* Medical Terminology Course Required or complete within the 90 day orientation period.
* Medical Assistant Certification Preferred.
* RHIA or RHIT Certification Preferred

Experience/Specialized skills (including Language)
* One to two years' work experience in the HIM services in a clinical or hospital setting preferred.
* One to two years of HIM medical records request experience preferred.
* One to two years' experience with an Electronic Health Record (EHR) and practice management system preferred.
* Intermediate computer literacy (i.e. Excel, Outlook Word, Adobe Acrobat, eFax Systems, Share Drives).
* Intermediate skills in medical computer applications and software preferred.
* Intermediate knowledge of medical terminology and record content required.
* Bilingual English/Spanish preferred.
* Other languages such as Vietnamese, Persian, Farsi, or Somali highly desirable.
* Excellent interpersonal skills and ability to work effectively in team environment.
* Intermediate written and verbal communication skills, including ability to communicate effectively with patients and family members who speak English as a second language.
* Exceptional organizational skills, attention to detail, time-management skills, and strong motivation to meet deadlines and achieve goals.
* Ability to work well independently without a great deal of direction.
* Ability to accurately complete data entry at relatively high speed, utilizing grammar and spell check software.
* Ability to deliver excellent customer service, to internal and external customers
* Demonstrated ability to be culturally sensitive and respect diversity

We are excited to share that the salary range for this position is:

$25.50 - $31.55

Information on our extensive benefits package can be found here: FHCSD Wellness - Employee Hub (gobenefits.net)

FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.

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