HIM Data Retrieval Lead | Epic ROI & Compliance Expert

Baptist Memorial Health Care Corporation; Memphis (TN); Presencial; USD 55.000 - 85.000; Jornada completa

Descripción de la vacante

The Coordinator HIM Data Retrieval at Baptist Memorial Health Care Corporation oversees timely and accurate processing of requests for patient health information, including attorney requests, subpoenas, continuing care, and patient representatives. The role coordinates with ROI vendors and internal counsel to ensure HIPAA and state/federal regulations are met.

The position trains and supports Epic ROI workflows, monitors queues, and collaborates with Risk Management, Privacy and Security,

Responsabilidades

• Serves as subject matter expert responsible for oversight of all functions related to timely and accurate processing of requests for patient health information (including attorney requests, subpoenas, continuing care, patients/patient representatives, etc.)
• Oversees activities performed by ROI vendor partners; including vendor staff quality audits, reviewing and validating vendor service agreements to ensure compliance; reviews facility monthly invoices to ensure accuracy; HIPAA, Joint Commission, legal, Federal and State regulatory standards related to releasing patient information
• Serves as a resource to others including Denial Mitigation, Revenue Integrity, Patient Financial Services, Revenue Cycle Correspondence Team, etc. to avoid payer recoupments and revenue loss
• Monitors and reports on ROI queues and platforms (such as Sharing Hub and Chart Gateway) to review/validate authorization and complete requests, or other ROI needs; coordinates with other departments as needed
• Generates, reviews, formats and distributes ROI reports such as Weekly ROI Productivity, payer ROI frequency or others as requested
• Responsible for reviewing and developing policies and procedures surrounding ROI activities requiring knowledge of Federal and State regulations
• Serves as the EPIC BOC ROI Credentialed Trainer, training resource for the organization and validates completion of ROI workflow training to BOC for granting user access; coordinates termination of access as applicable
• Responsible for maintaining Epic ROI requestor directory (additions, deletions, etc.)
• Serves as lead resource to assess and recommend process change, workflow opportunities, and technology improvements to leadership and other departments
• Other special projects and duties as assigned

Descripción del empleo

The Coordinator HIM Data Retrieval at Baptist Memorial Health Care Corporation oversees timely and accurate processing of requests for patient health information, including attorney requests, subpoenas, continuing care, and patient representatives. The role coordinates with ROI vendors and internal counsel to ensure HIPAA and state/federal regulations are met.

The position trains and supports Epic ROI workflows, monitors queues, and collaborates with Risk Management, Privacy and Security,