HIM ROI Specialist - FT - Day - Health Information Management Pennington NJ
About The Position
The HIM ROI Specialist safeguards patients’ privacy rights and ensures hospital and Capital Health Medical Group record requests and releases comply with hospital policy, HIPAA, and state and federal regulations. The role supports daily release-of-information operations by validating authorizations, retrieving electronic and paper records across multiple EMR systems, maintaining confidentiality, and responding accurately and promptly to requests from patients, providers, legal entities, insurers, government agencies, and other authorized requestors. The specialist processes and tracks medical record requests, prioritizes continuity-of-care needs, and coordinates with medical facilities and Capital Health departments. Records are delivered through approved methods, including certified USPS mail, FedEx, and secure electronic delivery. The position also supports Risk Management and Legal teams, escalates record issues for resolution, and meets departmental accuracy and productivity standards.
Requirements
- High school diploma or equivalent.
- Knowledge of state and federal release-of-information regulatory requirements.
- Knowledge of Microsoft Office Suite.
- Ability to work in an environment using multiple EMR systems.
- Ability to work independently or as a team member and adapt to changing priorities and turnaround times.
- Strong customer service skills and ability to work in a sometimes stressful environment.
- Ability to perform detail-oriented tasks with a high level of accuracy.
Nice To Haves
- RHIT or RHIA credential.
- One year of previous release-of-information experience.
- Bilingual ability.
Responsibilities
- Validate requestor identity and authority for record requests, subpoenas, and consent forms.
- Validate record requests and ensure accurate releases that adhere to the minimum necessary standard.
- Process medical record requests accurately, meet required turnaround times, provide excellent customer service, and use sound judgment.
- Gather patient records from multiple EMR systems and generate invoices when applicable in accordance with HIPAA and state and federal standards.
- Prioritize continuity-of-care requests and coordinate with medical facilities and Capital Health departments to expedite delivery of information.
- Sort and prioritize mail and disseminate records through approved methods, including certified USPS mail, FedEx, and secure electronic delivery.
- Log medical record requests in the Release of Information tracking system, attach request letters, and scan requests into the ROI tab in patient charts.
- Use hospital faxing automation tools whenever possible and include a fax cover sheet with each fax transmission.
- Escalate missing, incomplete, or incorrectly indexed medical record documents to management.
- Support Risk Management and Legal teams with accurate and timely fulfillment of medical record requests.
- Maintain current knowledge of ROI regulatory requirements.
- Meet or exceed departmental accuracy and productivity standards and foster teamwork and collaboration.
- Perform other duties as needed.
Benefits
- Medical plan
- Prescription drug coverage and in-house employee pharmacy
- Dental plan
- Vision plan
- Flexible Spending Account (healthcare and dependent care)
- Retirement Savings and Investment Plan
- Basic group term life and AD&D insurance
- Supplemental group term life and AD&D insurance
- Long-term disability benefits
- Short-term disability benefits
- Employee Assistance Program
- Commuter transit benefits
- Commuter parking
- Voluntary legal services
- Voluntary accident, critical illness, and hospital indemnity insurance
- Voluntary identity theft insurance
- Voluntary pet insurance
- Paid Time-Off Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
