HIM ROI Analyst II

10700 Revenue Cycle Organization; United States; On-site; USD 55,618,000 - 80,632,000; Full time

Job summary

Intermountain Health seeks an HIM Analyst II to support the ROI program, processing requests and ensuring HIPAA-compliant release of information. You will collect, verify, and retrieve records from EPIC/OnBase, resolve issues with attorneys and patients, and perform quality checks to maintain accuracy and privacy.

This on-site role at Intermountain Health Lutheran Hospital in Wheat Ridge Colorado offers a 40-hour week with opportunities to participate in audits and process improvements while

Qualifications

• High School Diploma or equivalent required.
• Minimum 1 year ROI release of information experience required.
• RHIT/RHIA certifications preferred.
• 2+ years ROI/Release of Information experience preferred.
• Proficiency with EMR workflows and OnBase/EPIC familiarity.
• Excellent customer service and computer skills.
• Able to work nights/weekends if required.
• Detail oriented with strong problem solving and communication skills.

Responsibilities

• Monitors and completes ROI requests based on authorization and policies.
• Enters new requestors into ROI database and ensures provider information is up to date.
• Retrieves health information from multiple sources ensuring dates of service and identity are correct.
• Ensures compliance with HIPAA, 21st Century Cures Act and other regulations.
• Directs interactions with patients, attorneys, auditors and insurers to resolve issues.
• Coordinates with physicians when information is unavailable in EPIC or needs physician approval.
• Performs quality checks to ensure accuracy and confidentiality.

Skills

Customer service

Attention to detail

Verbal communication

Written communication

Time management

Independent work

Problem solving

HIPAA knowledge

EMR navigation

Google Workspace

Education

High School Diploma

Associates or Bachelor's degree preferred

RHIT or RHIA preferred

Tools

EPIC

OnBase

EMR systems

Google Workspace

Job description

HIM 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.

Key Responsibilities

• 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.
• Scope 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.
• Scope 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.
• Scope 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.
• Scope 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.
• Scope 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.
• Scope 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.
• Scope 8. Participates in problem solving, be empowered to expedite decisions, analyze and recommend options and follow-up on outstanding issues related to their work.
• Scope 9. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
• Scope 10. Performs other duties as assigned.

Minimum Qualifications

• 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.
• Intermediate knowledge of medical terminology.
• Knowledge of Release of Information requirements.
• Excellent customer service and computer skills.
• Familiarity with electronic medical records systems preferred.
• Ability to navigate through EMR / Content Management systems (preferably Epic and OnBase) and locate information or identify source of required information.
• Knowledge of Google Workspace.
• Detail oriented, ability to ensure accuracy in work product.
• Must be able to demonstrate problem solving skills.
• Verbal and written communication skills.
• Ability to work independently and use good judgement in decision making.
• Skilled in personal organization and time management.
• Demonstrates ability to learn/use various hospital and clinic information systems at a high level.
• Ability to work with all hospital personnel positively and productively.
• Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required.
• Ability to work nights and/or weekends is required for identified positions.
• Hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, sitting, speaking, squatting/kneeling, standing, and walking.

Location & Work Hours

Location: Intermountain Health Lutheran Hospital

Work City: Wheat Ridge

Work State: Colorado

Scheduled Weekly Hours: 40

Compensation & Benefits

Hourly range: $19.41 - $28.14

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All employees must adhere to a conflict of interest policy: I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world‑class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.