About The Position

The HIM ROI Specialist safeguards patients’ privacy rights and ensures that 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 verifying authorization validity, retrieving electronic or paper records, maintaining confidentiality, and facilitating accurate, timely responses. Using multiple EMR systems, the specialist processes authorized requests from patients, providers, legal entities, insurance companies, and government agencies. This full-time, day-shift position is based in Pennington, New Jersey, and is scheduled for 40 hours per week. The usual workday is eight hours. The position does not formally supervise employees.

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.
  • Ability to adapt to changing priorities and meet required 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 verify the authority of record requests, subpoenas, and consent forms.
  • Validate record requests and ensure that accurate records are released as requested in accordance with the minimum necessary standard.
  • Process medical-record requests accurately, within required turnaround times, and with excellent customer service.
  • Apply critical thinking and sound judgment when processing requests.
  • Gather patient-record information from multiple EMR systems and generate invoices when applicable, following HIPAA and state and federal standards.
  • Prioritize continuity-of-care requests and communicate with medical facilities and Capital Health departments to facilitate timely receipt of information.
  • Sort and prioritize mail.
  • Disseminate records using 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 fax automation tools whenever possible to reduce dialing errors and ensure each fax transmission includes a cover sheet.
  • Escalate missing, incomplete, or incorrectly indexed medical-record documents to management for resolution.
  • Support Risk Management and Legal teams in fulfilling medical-record requests accurately and on time.
  • Maintain current knowledge of ROI regulatory requirements.
  • Meet or exceed departmental accuracy and productivity standards.
  • Foster teamwork and collaboration and perform other duties as needed.

Benefits

  • Medical plan and prescription drug coverage, including an in-house employee pharmacy.
  • Dental plan.
  • Vision plan.
  • Healthcare and dependent-care flexible spending accounts.
  • Retirement Savings and Investment Plan.
  • Basic and supplemental group term life and accidental death and dismemberment insurance.
  • Long-term and short-term disability benefits.
  • Employee Assistance Program.
  • Commuter transit and parking benefits.
  • 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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