HIM ROI Analyst II

Intermountain Health • San Jose, CA

2d • $19 - $27 • Onsite

About The Position

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.

Requirements

• High School Diploma or Equivalent is required
• One (1) year experience in Release of Information HIM Department is required
• Intermediate knowledge of medical terminology.
• Knowledge of Release of Information requirements.
• Excellent customer service and computer skills.
• 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

Nice To Haves

• Degree in related field may satisfy 6 months of experience requirement
• 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
• Familiarity with electronic medical records systems preferred.

Responsibilities

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

Benefits

• Comprehensive 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.
• Tuition coverage paid directly to the academic institution through the PEAK program.
• 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates, available through the PEAK program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED