Title: Electronic Health Record (EHR/EMR) Specialist

Location: San Antonio, TX

Position Type: Full time (30-40+ hours/week), hourly.

Contract: GSA

Education Level: High School Diploma or equivalent

Job Category: Health Care

Start Date: March 1, 2025

SIN Number: 621-100

Our Company Promise:

We are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Vighter’s Mission is to provide efficient, fast, high quality healthcare staffing to our clients.  Our Culture’s 5 key elements are crucial to the effectiveness of our employees in accomplishing our mission. These elements are:

Dependability Integrity Personability Transparency Responsiveness

Creating and cultivating this Culture within the organization is our commitment to our employees. Above all, Vighter employees will be provided the same concern, respect, and caring attitude that they are expected to share externally with every Vighter Client and Customer.

Summary:

Vighter LLC is seeking multiple highly skilled Electronic Health Record Specialists, responsible for ensuring all patient medical record data is secure, complete, accurate, and accessible in the CBP Electronic Medical Record system (EMR) and Medication Application. Under the direction of the Patient Safety Risk Manager or in his/her absence the Patient Safety Quality Management Director and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP), the electronic health record specialist works in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS) directives for the maintenance of medical records of the delivery of healthcare services to persons in custody. 

Principle Accountabilities:

Initiates and maintains compliance with DHS and CBP policies and any overriding accreditation standards that may apply.  Works within licensure/certification.  Maintains compliance with standard operating procedures and protocols.  Maintains patient confidentiality and privacy of medical records.  Performs record keeping functions in accordance with program policies and the system of records management.  Ability to use the electronic medical record and must maintain an “active status” for use and complete all required trainings.  Utilizes the electronic medical records system for all documentation, and all duties related to patient care or the management of medical records, to include scanning of any paper patient care records or documents.  Maintains non-involvement in the security aspect of custody.  Attends general staff meetings and participates with medical quality management initiatives and reviews as applicable.  Assures a safe and clean working environment.  May be required to serve at various medical units within sector/region.  Responsible for ensuring all patient medical record data is secure, complete, accurate, and accessible in the CBP Electronic Medical Record system (EMR) and Medication Application, to include but not limited to:  a. Health Intake Interview b. Medical Assessments c. Medical Encounters d. Enhanced Medical Monitoring Information e. Medication prescription copies, Medication Administration Records  f. Off-site Referral and Hospital Records  g. Local and State Infectious Disease Reporting Documentation and notifications  h. Any additional patient health documentation or information  Ensure the security of all patients’ medical documentation (paper and electronic) according to national standards, privacy, and HIPAA policies and guidelines.  Process the release of information requests (FOIA- Freedom of Information Act, or Release of Information) relating to the patient paper medical documents and records, following through assuring completion of request.  Provide clinical information reports as requested by CBP.  Satisfactorily complete all CBP EMR comprehensive training prior to taking on duties and responsibilities of this position.  Attend CBP EMR comprehensive trainings quarterly to stay up to date on any new changes to the CBP EMR system and Medication Application.  A deep sense of purpose and dedication to the United States and our U.S. Military Veterans, their Families, and other patients as assigned. An unshakeable adherence to quality and continuous process improvement. An apolitical, patient-centered focus that drives to enhanced care and patient satisfaction. Other duties as assigned.

Knowledge and Skills:

Must have exceptional customer service skills. Employees shall be technically proficient in the skills necessary to fulfill the job requirements, including ability to speak, understand, read and write English fluently.

Education:

High School Diploma or equivalent required. Successful completion of a program in medical records management or the equivalent in an accredited community college, junior college, college or university, or online learning center.  Certification or degree issuing program must be accredited by an entity recognized by the U.S. Department of Education. 

Qualifications:

One year of qualifying experience as a medical records technician, medical records clerk, unit secretary, healthcare information specialist, or the equivalent in a hospital, outpatient clinic, nursing home, correctional or detention setting, or other supervised medical, nursing, or patient care facility that provided direct patient care.  Knowledge or medical terminology is required.  Applicant must possess knowledge, ability, and high level of proficiency in the use of Microsoft Office programs, to include Word, Excel, Outlook, and SharePoint.  Candidates must be currently certified as an electronic medical records technician, healthcare information specialist, medical records technician, or the equivalent. Certification must be maintained current, and any required education, trainings, continued learning to maintain certification must be completed within the required timeline for completion by the certifying authority. A temporary certificate will not be accepted. Candidate must not have had any professional licensure or certification withheld, suspended, revoked, or denied, and the candidate must not have surrendered or allowed a professional license or certification to have expired or lapsed because of an investigation or disciplinary action.  Candidate must not have been convicted of, pled guilty to, pled nolo contender to, or received probation before judgement for any crime other than a minor traffic violation, the record of which has not been expunged.  Bilingual in English and Spanish encouraged, but not required. 

Duty Hours / On-call Requirements:

Generally speaking, the corporate office is open 8 a.m.-5 p.m.; however, during times of rapid mobilization, hours may be extended to include days, nights, weekends and holidays. The are opportunities across a multitude of locations and shifts. We try our best to accommodate your schedule, so please inform Vighter of your desired schedule and/or geographic limitations in advance.

Work Environment:

Location: Vighter Corporate HQs, San Antonio, TX Supportive team of healthcare professionals and administrative staff. Opportunity to work with diverse populations, including immigration and asylum personnel and underserved communities.

Travel:

As required to satisfy the contractual obligations. Generally, travel is limited to commute from residence to the worksite. Commute is non-compensatory. All official travel is government-funded.

Benefits:

Competitive salary and comprehensive benefits package, with Medical, Dental, and Vision insurance available for W2 full time employees. Company-paid basic Life and AD&D insurance and subsidized health insurance (W2). Paid time off and holidays. Professional development and promotion opportunities.

Physical Requirements:

Must be able to sit for more than 8 hours per day. Must be willing to work overtime if necessary. Must be able to use an elevator or walk up and down stairs. Must be able to lift up to 40 pounds and carry up to 10 feet. Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders. Must be able to read and interpret handwritten and typewritten print. Must be able to communicate by voice and detect sound by ear. Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation. Must undergo Urine Drug Screening (UDS). Positions require applicants to be US Citizens, 21 years or older.  Must complete criminal background check, and Child Abuse and Neglect (CAN) background check. 

Vighter LLC is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award.

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