Health Records Compliance Analyst

MedAmericaSacramento, CA
$20 - $24Remote

About The Position

At Vituity, you are part of a larger team dedicated to transforming healthcare by improving lives. We foster a "culture of brilliance" where passion thrives and success is achieved through shared purpose and collaboration. Vituity operates at 890 practices nationwide, serving 14.5 million patients annually, and offers the flexibility to relocate jobs across locations. This role is crucial in ensuring compliance with health record request procedures and maintaining the integrity of patient information.

Requirements

  • High School Diploma or GED required.
  • 1-2 years of health information management, medical records, records management, medical billing, or coding experience required.
  • Knowledge of HIPAA compliance laws required.
  • Type a minimum of 35 wpm required.
  • Proficiency in Microsoft O365 products and tools required.
  • Ability to maintain a high level of confidentiality regarding patient information.
  • Knowledge of federal and state HIPAA and related privacy, security, and compliance laws.
  • Proficient in data entry functions.
  • Ability to navigate the internet.
  • Ability to work independently and within a team structure when necessary.
  • Possess strong, independent problem-solving and critical thinking skills, organizational and interpersonal skills.
  • Strong analytical skills and expert attention to detail.
  • Knowledgeable of medical billing and coding processes, and medical terminology.
  • Demonstrate excellent verbal and written communication skills, focused on strong customer service skills with ability to explain and firmly uphold compliant policies and procedures.
  • Ability to meet regulatory-driven deadlines in a fast-paced environment.
  • Must be able to effectively speak, read, and write English.

Nice To Haves

  • Previous experience in a medical office, records department, billing or coding department, or hospital setting preferred.
  • Second language abilities a plus.

Responsibilities

  • Ensures compliance with timelines and guidelines for record requests, subpoenas, court orders, and other information requests received via U.S. mail and electronic database, adhering to company policy and state/federal guidelines.
  • Obtains, reviews, and analyzes records for completeness, identifying and collaborating to correct discrepancies or escalating to a Supervisor as needed.
  • Completes quality assurance validation of records and requirements before releasing health records through ChartSwap to external parties.
  • Reviews and analyzes electronic patient records using multiple computer systems to process, produce, and release accurate legal record sets.
  • Screens for the release of sensitive information requiring special authorization, such as mental health, chemical dependency, or HIV status.
  • Validates that legal documents, subpoenas, correspondence, and authorizations are HIPAA compliant with consistent accuracy and accountability.
  • Processes subpoenas and dispositions, verifies and tracks payments, and consults with business partners representing the Custodian of Records at court proceedings.
  • Maintains current knowledge of revenue cycle management programs and resources to review accounts and determine appropriate actions based on requests.
  • Collaborates with department leadership to continuously improve workflow processes, standardization, and systems like ChartSwap for enhanced usability and efficiency.
  • Maintains current knowledge of applicable statutes, regulations, guidelines, and standards, including department policies and procedures.
  • Assists leadership in maintaining reference materials, training materials, and approved templates and documents.
  • Maintains a high level of accuracy and confidentiality.
  • Serves as the primary point of contact for incoming issues and questions via phone and email from records requestors and internal partners.
  • Communicates issues and provides solutions related to record management with internal stakeholders, coworkers, and customers.
  • Communicates processing requirements, estimated completion times, provider responsibilities, and other factors affecting requests directly with internal or external customers, including attorneys and law firm employees.
  • Identifies and resolves problems for internal and external parties, developing solutions or escalating as appropriate.
  • Collaborates with cross-functional team members and stakeholders, including Support Services, Patient Services, RCM Billing, Legal, and other departments for health records analysis and management functions.
  • Acts as a steward by exhibiting sound, ethical standards and consistently promoting a compliant culture.
  • Recommends training topics and materials for continuous personal and team performance.
  • Leads and participates in Compliance projects and initiatives when requested.
  • Participates in enterprise activities and industry meetings or conferences to foster relationships with other departments and industry colleagues.
  • Develops expertise and performs research in health information management, privacy, HIPAA, or other compliance subjects when requested.
  • May be asked to travel for business purposes, not exceeding 5-25% of the time.

Benefits

  • Superior health plan options
  • Dental, Vision, HSA/FSA, Life and AD&D coverage
  • Top Tier 401(k) retirement savings plans with a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
  • Generous paid time off starting 3-4 weeks’ annually
  • Student Loan Refinancing Discounts
  • Professional and Career Development Program
  • EAP and travel assistance included
  • Wellness program
  • Purpose-driven culture focused on improving the lives of our patients, communities, and employees
  • Monthly wellness events and programs such as yoga, HIIT classes, and more
  • Trainings to help support and advance your professional growth
  • Team building activities such as virtual scavenger hunts and holiday celebrations
  • Flexible work hours
  • Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more
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