HIM ROI Analyst II

Job Description:

Supports the HIM Release of Information program through the facilitation of ROI-related processes and workflows designed to ensure the complete, accurate, timely and compliant release of information. The HIM Analyst II will collect, process, retrieve, analyze, and disseminate health care information/medical records for purposes of patient care, Subpoenas, attorney, regulatory and Risk Management requests. The incumbent will perform the release of information duties ensuring all requests are compliant, adhering to hospital and clinic policy as well as State and Federal guidelines.

Scope
1.Monitors, tracks, analyzes and completes release of information requests, including SSA,document distribution, face sheets, requests for third party billing companies and various audits as assigned, based on appropriate authorization and policies and procedures.
2. Enters new requestors into the ROI database ensuring no duplicates are created. Work with the Central Verification Office to ensure provider information is up to date and matches their system. Auditing of the database to ensure accuracy.
3. Retrieves health information in response to requests for information ensuring accuracy by analyzing records for appropriate dates of service, verification of identity, and specific content requested. Responsible to retrieve and analyze health information from multiple sources/systems (Various 3rd party EHR systems, PACs Radiology, etc); electronic, paper, microfilm, microfiche, scanned images.
4. Ensures compliance with guidelines/requirements related to patient confidentiality and release of information according to established policies, procedures and regulatory requirements including the 21st Century Cures Act (Information Blocking), and the Health Information Portability Accountability Act (HIPAA), Joint Commission, CMS and OCR.
5. Directs service representative to patients, attorneys, law enforcement, auditors, and insurance company representatives as well as a variety of other professionals to resolve issues with payments, records, expediting requests and help with procuring authorizations as well as managing any complaints or concerns. Supports the cROI analysts II with printing records, and CDs.
6. Coordinates with physicians and staff when the requested information/results are not available in EPIC or when needing physician approval. Provides assistance to patients in completing authorization forms, guiding them on the process of ROI, patient portal (MyChart) and completing their requests with high patient satisfaction.
7. Performs quality checks on all work to ensure accuracy of the release, and confidentiality by confirming patient identifiers, information to be released, time frame, requestor information and follow regulatory requirements minimum necessary is released in order to avoid breeches and possible legal actions.
8. Participates in problem solving, be empowered to expedite decisions, analyze and recommend options and follow-up on outstanding issues related to their work.
9. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
10. Performs other duties as assigned.

Minimum Qualifications Required High  School Diploma or Equivalent is required

One (1) year experience in Release of Information HIM Department is required Degree in related field may satisfy 6 months of experience requirement

Preferred

Associates Degree or Bachelors Degree in related field is preferred

Registered Health Information Technologist (RHIT) or Registered Health information

Administrator (RHIA) is preferred

Two (2) years of experience working in Release of Information HIM Department is preferred

To perform this job successfully, an individual must be able to perform each…