Senior HIM ROI Specialist - FT - Day - Health Information Management Pennington NJ

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range

$21.76 - $28.28

Scheduled Weekly Hours

40

Position Overview

Please note: This position is on-site Monday through Friday at CHMC - Hopewell in Pennington, NJ

SUMMARY (Basic Purpose of the Job)

The Senior Release of Information (ROI) Analyst is a highly skilled expert responsible for leading, coordinating, and supporting advanced ROI operations. Safeguards and protects patients’ rights to privacy and ensures all hospital and Capital Health Medical Group (CHMG) record requests and releases are in compliance with hospital policy, HIPAA, state and federal regulations. Acts as a subject matter expert for ROI workflows, mentors ROI team members, assists with process improvements, and collaborates with leadership to maintain a compliant and efficient ROI program.

MINIMUM REQUIREMENTS

Education: High School Diploma or equivalent. Knowledge of all state and federal release of information regulatory requirements. RHIT or RHIA preferred

Experience: Three years' previous ROI experience preferred; exhibiting strong leadership skills

Other Credentials:

Knowledge and Skills: Advanced knowledge of ROI related state and federal regulatory requirements. Proficient use of multiple disparate EMR systems

Special Training: Knowledge of Microsoft Office Suite. Bi-lingual preferred

Mental, Behavioral and Emotional Abilities: Ability to work in environment using multiple EMR systems

Usual Work Day: 8 Hours

Reporting Relationships

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Coordinates workflow within release of information area to assure appropriate and accurate prioritization and fulfillment of release of information requests are processed as soon as possible for all requesters.
• Participates in a collaborative teamwork environment and serves as a resource to ROI Analysts.
• Shares expertise in ROI with team members to resolve complex RO issues and build skill level and proficiency.
• Conducts internal reviews to ensure accurate and timely processing of requests for release of information.
• Assists with escalated customer concerns, disputes, or clarifications. Assists with complex ROI scenarios and works with HIM management to determine the appropriate response.
• Assists with onboarding, training, and mentoring of new ROI staff.
• Validates requestor identity and verify the authority of record requests, subpoenas, and consent forms.
• Validates requests for records and ensures that accurate records are released as requested and adheres to minimum necessary standard.
• Processes medical record requests with a high level of accuracy, adherence to required turnaround times and delivering excellent customer service. Exhibits critical thinking skills and the ability to make sound judgement calls.
• Meets or exceeds departmental accuracy and productivity standards.
• Supports Risk Management and Legal teams to ensure medical record requests are fulfilled accurately and timely.
• Gathers patient record information from several EMR systems to fulfill record requests and generate invoices when applicable in accordance with HIPAA, state and federal standards.
• Logs requests for medical records into the Release of Information tracking system. Attach copies of request letters into the tracking system and scan requests into the ROI tab in patient charts.
• Escalates any missing, incomplete, or incorrectly indexed medical record documents to management for resolution.
• Maintains current knowledge of regulatory requirements related to ROI.
• Performs other duties as needed.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequent physical demands include
• Occasional physical demands include: Standing , Walking
• Continuous physical demands include: Sitting , Keyboard use/repetitive motion , Talk or Hear

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

• Sensory Requirements include: Very Accurate 20/40, Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception,
• Minimal Hearing Anticipated Occupational Exposure Risks Include the following: N/A

IND123.

This position is eligible for the following benefits:

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse
• Voluntary Life Employee
• Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.