ROI Coordinator

Guidehouse Inc.; United States; Presencial; USD 42.000 - 54.000; Jornada completa

Descripción de la vacante

Guidehouse Inc. is seeking a HIM Release of Information Coordinator to support the medical records department at the CMH hospital. This full-time on-site role runs Monday through Friday, 8:00 AM - 4:30 PM PT, handling ROI requests and record processing.

The role emphasizes accuracy, timeliness, and compliance with HIPAA policies to ensure continuity of care and efficient department operations.

Formación

• Experience in an office, healthcare, or customer service setting.
• HIPAA familiarity is a plus.
• Ability to handle confidential information and data with discretion.

Responsabilidades

• Answer department phones and route inquiries appropriately.
• Process continuity of care and ROI requests accurately and timely.
• Review subpoenas and assist with physician communications for records.
• Maintain documentation integrity and complete ROI processes.
• Prepare state reports and vital statistics as directed.

Conocimientos

Customer service

Healthcare administration

Records management

Educación

High School Diploma or GED

Descripción del empleo

Job Family : Medical Records

Travel Required : None

Clearance Required : None

What You Will Do :

The HIM Release of Information Coordinator role is the foundation of the HIM Department operations and has significant impact on Patients, Physicians and Clinicians as well as the Organization. The HIM Analyst role is crucial to compliant, timely and accurate medical records and release of information to support continuity of care, and Department operations. Under the direction of HIM Department Leadership, the HIM Analyst is responsible for any or all of the below daily operational work in various technical aspects of the HIM Department.

This is a full-time position based at the CMH hospital Monday through Friday, 100% ONSITE. Working hours are 8:00 AM - 4:30 PM PT.

Primary work is answering department phone, processing continuity of care and patient ROI requests, review subpoenas to validate, crossed trained in all the other types of ROI for coverage.

• Medical Record Processing
• Physician Suspension
• Birth & Death Certificates
• Release of Information
• Medical Record Quantitative and/or Qualitative Review
• Submission of State Required Reports / Vital Statistics

Medical Record Processing:

• Responsible for timely and accurate collection and filing of Department identified disparate documentation and/or data into the EHR; including paper and electronic file Prep, Scanning and Indexing (ex. Paper, Faxed or Scanned Files, Files on Shared Drives, Dictations, Interfaced testing, Diagnosis/Procedure Coding)
• Performs quality monitoring of patient medical records; ensure integrity of the patient medical record; one patient per MRN, complete and consistent encounter documentation
• Evaluates medical records for missing documentation, authentication, inaccurate or incomplete information and assigns documentation deficiencies to the appropriate physician
• Fluent in all policies and procedures related to Chart Processing and Deficiencies

Physician Suspension:

• Assists physicians with completion of incomplete records; provides training for physicians for the electronic completion of incomplete records
• Responsible for timely, accurate & complete notifications to physicians of deficiencies & delinquencies
• Contact physicians timely and in the modes expected to provide every opportunity to assist with completion of medical record deficiencies to avoid Suspension
• Effect and Remove Suspension of physician privileges for delinquent medical records in accordance with policies and procedures
• Fluent in all policies and procedures related to Chart Processing, Physician Notifications, Deficiencies and Delinquencies and Suspension

Birth & Death Certificates:

• Responsible for preparing a Certificate of Live Birth for each birth that occurs at the Client including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the birth
• Responsible for preparing a Certificate of Death for each death that occurs including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the death
• Follows security procedures to restrict access to the blank and completed certificates to authorized personnel only

Release of Information:

• Assist Requestors with proper submission of ROI Requests (via phone, walk-in, portal, etc.)
• Receive & log requests accurately and timely, in accordance with policy and procedure (mail, fax, email, portal, etc.)
• Validate Requests are Compliant prior to processing / Notify Requestors appropriately and timely when additional information is required
• Coordinate on-site record reviews; assists requestors with access to and release of information
• Receive & Process Patient Amendment and Accounting of Disclosure Requests
• Fluent in all organization and Department policies and procedures related to ROI

Medical Record Quantitative and/or Qualitative Reviews:

• Perform regular and/or adhoc medical record reviews at the direction of leadership

Submission of State Required Reports / Vital Statistics:

• Compile & submit State Required Reports at the direction of leadership
• Compile & submit Vital Statistics at the direction of leadership

Responsibilities to Client:

• Ensure excellent Customer Service in all interactions including but not limited to Written and Verbal communications in person, on the phone, over email and in any meetings
• Follow all applicable policies and procedures related to being onsite or telecommuting
• Meet or Exceed performance expectations of the Client
• Anticipate customer needs and initiates action to meet and/or exceed those needs
• Identify and recommend ways to improve Client satisfaction

What You Will Need :

• High School Diploma or GED
• 0-2+ year's experience working in an office, business, operations, customer service or healthcare field.

What Would Be Nice To Have :

• Understand and apply HIPAA regulations
• Use offic