Release of Information ROI Specialist

Banner Health•Mesa, AZ

1d•Onsite

About The Position

Explore and excel. At Banner Health, health care is a team effort. One might be surprised by the number of people who work behind the scenes and play a critical role in ensuring the best care for our patients. Bring your passion for medical records to our mission of making healthcare easier. Join our ROI team it is one of the largest and most comprehensive facilities in Arizona. As a Release of Information-RIO Specialist you will support processes and communication for legal and regulatory request between Banner and our Release of Information vendor. Location: Banner Desert Medical Center Full-time: 8am-4:30pm Monday - Friday. No weekends, no Holidays! Ideal Candidate: 5 yrs experience with Legal and regulatory ROI request experience. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position is responsible for providing the organization's response to audit requests for patient medical records. These requests can come from multiple external payors/auditors including the RAC (Recovery Audit Contractor) program, MACs (Medicare Administrative Contractors), CDACs (CMS Clinical Data Abstraction Center, etc. This position also coordinates the timely processing of requests for PHI for all hospital, BMG, and BUCS facilities across the system. Ensures complete medical records are compiled and distributed on a time sensitive basis to avoid denials. May act in a leadership role and is a liaison between management and internal/external customers in regard to regulatory requests. Delivers high quality customer service to internal/external customers and monitors daily workflow.

Requirements

Requires the knowledge of health information practices and principles as normally demonstrated through completion of five or more years of experience in release of information.
Extensive critical and analytical thinking skills required.
Ability to organize workload to meet deadlines, and maintain confidentiality of all work information.
Ability to research, interpret and develop recommendations.
Excellent written and oral communication skills are required, as well as effective human relations and leadership skills for building and maintaining a working relationship with all levels of staff, physicians, and other internal/external contacts.
Requires strong technical skills in the use of Windows software applications, specialized equipment and multiple databases.
Must have strong organizational skills, good customer service and interpersonal skills.
Is knowledgeable and proficient in accessing and utilizing all applicable EHR systems as well as multiple EHR applications utilized by the Release of Information department.

Nice To Haves

Current enrollment in Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) in an active status with the American Health Information Management Association (AHIMA).
Additional related education and/or experience preferred.

Responsibilities

Tracks and monitors all responses to internal customers i.e. Risk Management, Denials Management, and external payors/auditors for patient medical record requests for the company.
Acts as a liaison between facilities and the internal/external requestor to ensure all medical records is complete and is received by the internal/external requestor in a timely manner and within established due dates to prevent denials.
Assist with the orientation, training, and re-education of ROI staff.
Liaison between management and ROI staff for the purpose of coordinating staff schedules.
Promotes communication, effective point of service decision making and problem solving while interacting with internal/external customers to ensure positive resolutions and customer satisfaction.
Compiles department statistics, generates reports, and facilitates special projects as required including assisting in the development of targets and action plans to achieve department goals.
All ROI staff must meet the minimum productivity standards.
May process requests for individual patient information via phone, mail, subpoena, fax, complex high volume releases for hospital and BMG, internal compliance audits, internal peer review, CMS RAC audits, coding denial audits, CDAC audits and/or other mediums.
Ability to pay close attention to detail and works independently in order to fulfill requests.
May serve as a backup to other staff members to ensure the ROI department operations are efficiently and effectively maintained.
Follows Banner Health policies, procedures and fees in releasing information according to federal, state, and regulatory guidelines across multiple states.
Prepares certified copies of records for patient or requester as required for external reviewers and legal proceedings.
Works independently under limited supervision.
Makes independent judgments based on specialized release of information knowledge.
Holds system-wide responsibility for managing the company responses to external requests for patient medical records from payors/auditors.
Holds a system wide scope of hospital, clinic, and urgent care facility releases.
Pays close attention to detail when processing requests.
Must follow Banner Health policies, procedures and guidelines in releasing information according to federal, state, and regulatory guidelines across multiple states.
Determines appropriate payment for each request and follows all Federal guidelines (i.e. OCR).
Prepares certified copies of records for audits and legal proceedings.