HIM ROI Analyst II

Intermountain Healthcare Inc.; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

Intermountain Healthcare Inc. is seeking an HIM ROI Analyst II to support the release of information program. You will collect, process, retrieve, and disseminate health records, ensuring compliance with HIPAA, 21st Century Cures Act, and policy standards.

Responsibilities include monitoring requests, entering data in ROI systems, and coordinating with physicians and attorneys to resolve issues while maintaining high patient satisfaction and data integrity.

Qualifications

• Requires background in release of information workflow.
• Experience with HIPAA and privacy regulations.
• Ability to verify patient identity and data integrity.
• Strong attention to detail and accuracy.

Responsibilities

• Monitor ROI requests and route to appropriate channels.
• Enter new requestors into ROI database and verify duplicates.
• Retrieve and analyze health records across sources.
• Ensure compliance with HIPAA and 21st Century Cures Act.
• Coordinate with clinicians when approvals are needed.
• Quality checks on all released information.
• Assist with patient inquiries and expedites requests.
• Support analysts and maintain documentation.

Skills

Customer service

Communication skills

Problem solving

Detail orientation

Time management

Independent work

Education

High School Diploma or Equivalent

Associate's Degree

Bachelor's Degree

RHIT

RHIA

Tools

Epic

OnBase

EMR Systems

Google Workspace

Job description

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 guidelinesScope

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 informationAdministrator (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 essential dutysatisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ..... 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 bu