Document Management & ROI Specialist

ECLAT Health Solutions; Mumbai; On-site; INR 350,000 - 520,000; Full time

Job summary

ECLAT Health Solutions is hiring for a Health Information Management/ROI position in Mumbai. The role involves handling medical records, ROI requests, and HIPAA compliance within an EHR environment (Epic, Cerner, Meditech, Allscripts, eClinicalWorks).

Attention to detail and the ability to manage multiple requests are essential. Candidates should have 1–3 years in HIM or Medical Records, knowledge of HIPAA Privacy Rule, and experience in document management.

Qualifications

• 1–3 years of experience in Health Information Management (HIM) or Medical Records
• Document management and ROI experience preferred
• Healthcare BPO experience is a plus
• Knowledge of HIPAA Privacy Rule and ROI regulations

Responsibilities

• Receive, review, and process incoming medical documents
• Index and upload documents into the EHR system
• Verify patient identifiers and document accuracy before indexing
• Classify documents into appropriate types
• Ensure completeness and quality of scanned documents
• Perform quality audits on scanned and indexed records
• Resolve document mismatches and duplicate records
• Maintain document retention and archival procedures
• Support document retrieval requests from internal stakeholders
• Process ROI requests from patients, physicians, attorneys, insurers, and government agencies
• Verify authorizations for completeness and HIPAA compliance
• Validate requester identity and legal authority
• Determine records for release and redact PHI when needed
• Release records within regulatory turnaround times
• Document disclosures per HIPAA accounting requirements
• Maintain confidentiality of PHI
• Handle subpoenas and court orders per policies
• Communicate with requestors about incomplete/invalid authorizations
• Coordinate with physicians, clinics, and HIM staff to resolve documentation issues

Skills

Medical terminology

HIPAA Privacy Rule

ROI regulations

Electronic Health Records (EHR)

Attention to detail

Prioritize multiple requests

Analytical skills

Typing speed & data entry

MS Office

Tools

Epic

Cerner

Meditech

Allscripts

eClinicalWorks

Job description

• Receive, review, and process incoming medical documents.
• Index and upload documents into the Electronic Health Record (EHR) system.
• Verify patient identifiers and document accuracy before indexing.
• Classify documents into appropriate document types.
• Ensure completeness and quality of scanned documents.
• Perform quality audits on scanned and indexed records.
• Resolve document mismatches and duplicate records.
• Maintain document retention and archival procedures.
• Support document retrieval requests from internal stakeholders.

Release of Information (ROI)

• Process medical record requests from patients, physicians, attorneys, insurance companies, and government agencies.
• Verify authorization forms for completeness and HIPAA compliance.
• Validate requester identity and legal authority.
• Determine appropriate records for release based on authorization.
• Redact protected information when required.
• Release records within regulatory turnaround times.
• Document all disclosures in accordance with HIPAA accounting requirements.
• Maintain confidentiality of Protected Health Information (PHI).
• Handle subpoenas, court orders, and legal requests according to organizational policies.
• Communicate with requestors regarding incomplete or invalid authorizations.

Compliance & Quality

• Ensure compliance with HIPAA, HITECH, CMS, Joint Commission, and organizational policies.
• Maintain confidentiality of patient information at all times.
• Participate in internal quality audits.
• Identify process improvement opportunities.
• Report privacy or security incidents immediately.

Customer Service

• Respond professionally to inquiries regarding medical record requests.
• Provide status updates to requestors.
• Coordinate with physicians, clinics, and HIM staff to resolve documentation issues.

Required Qualifications

Experience

• 1–3 years of experience in:
  • Health Information Management (HIM)
  • Medical Records
  • Document Management
  • Release of Information (ROI)
  • Healthcare BPO (preferred)

Required Skills

• Knowledge of medical terminology
• Understanding of HIPAA Privacy Rule
• Knowledge of Release of Information regulations
• Familiarity with Electronic Health Records (Epic, Cerner, Meditech, Allscripts, eClinicalWorks, etc.)
• Strong attention to detail
• Ability to prioritize multiple requests
• Strong analytical and problem-solving skills
• Typing and data entry proficiency
• Microsoft Office (Word, Excel, Outlook)

Contact: HR- [phone], 6305676906

Interested candidates can share their profiles or reach out directly.