Health Information Specialist ; Hybrid, North Carolina

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• Posted on August 26, 2026

Showing 1 location

Home Office
Morrisville, NC 27560, USA

• Hybrid
• Compliance & Audit
• Full-Time
• Requisition #: HEALT
  003520

The Health Information Specialist I performs specialized health information functions to support regulatory compliance, information governance, and privacy standards. Responsibilities include managing health information records, processing release of information requests, ensuring adherence to confidentiality requirements, and maintaining the accuracy, security, and integrity of health information. The position serves as a resource for health information practices and supports compliance with organizational policies and applicable state and federal regulations.

This position offers a hybrid work arrangement following the successful completion of a six-month probationary period. During the probationary period t he selected candidate must be available to report onsite to the Alliance Office (Morrisville, North Carolina). Upon successful completion, the employee will transition to a hybrid schedule, working remotely and onsite, with an expectation of 3 to 4 days per week in the office.

Responsibilities & Duties

Process Release of Information Requests

• Process medical and administrative record release of information requests, subpoenas, and court orders within required time frames (within 30 days or as specified on subpoena and/or court order)
• Respond to phone calls, emails and fax requests from members, Disability Determination Services, attorneys, providers and others on a daily basis and within appropriate time frames
• Must have detailed working knowledge and ensure all requests are responded to in accordance with state and federal rules and regulations regarding confidentiality, HIPAA, and Part 2 and Alliance policies and procedures
• Process and document Public Record requests

Prevent Records Breaches and Unauthorized Uses

• Protect medical and administrative records from breach of confidentiality and/or unauthorized use

Record Retention and Destruction

• Utilize approved retention schedules and determine length of time medical, administrative, and business records must be maintained
• Search for other records to ensure that all records for each member have been destroyed
• Log records that have met their retention timeframe using the approved destruction log
• Destroy records in accordance with Alliance policies, procedures, and state statutes
• Audit scanned records to ensure complete and accurate copies before destruction

Legal Guardianship Documentation Review

• Receive and manage legal guardianship documentation submitted by legally responsible parties (LRPs) and Alliance staff via email and fax
• Review all guardianship documentation for accuracy, completeness, and legal validity, confirming that authority and decision‑making rights are clearly established
• Approve valid documentation and upload finalized records into the member’s file in Jiva, ensuring timely and accurate record maintenance
• Notify the appropriate Alliance staff once guardianship documentation has been successfully reviewed and added to the member’s file
• Communicate with legally responsible parties or Alliance staff when documentation is incomplete, unclear, or invalid, and provide guidance on required corrections
• Maintain and update a database of all guardianship documentation received to support compliance, auditing, and record integrity
• Collaborate with Alliance Legal staff when additional clarification or guidance is warranted

Assist with Provider Medical Records

• Assist with taking possession of medical, business, and operational records abandoned by providers
• Develop a plan for taking possession of provider records, logging records and retention plans received by providers in the Network
• Draft and mail letters and notifications to providers who have left the Network
• Track and log…