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:

Scheduled Weekly Hours:

Position Overview

​SUMMARY (Basic Purpose of the Job)

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. Supports daily ROI operations by verifying authorization validity, retrieving electronic or paper records, maintaining strict confidentiality and facilitating accurate and timely responses. Using multiple EMR's, processes requests for release of information from patients, providers, legal entities, insurance companies, government agencies, and other authorized.

MINIMUM REQUIREMENTS

Education: High School Diploma or equivalent. Knowledge of all state and federal release of information regulatory requirements. RHIT or RHIA preferred. Experience: One year' previous experience in release of information preferred. Other Credentials: Knowledge and Skills: Knowledge of ROI related state and federal regulatory requirements. Special Training: Knowledge of Microsoft Office Suite. Bi-lingual preferred.

Mental, Behavioral and Emotional Abilities: Ability to work in environment using multiple EMR systems. Ability to work alone or as a team member. Ability to adapt to changing priorities and meet required turnaround times. Strong customer service skills, ability to work in sometimes stressful environment. Perform detail-oriented tasks with high level of accuracy.

Usual Work Day: 8 Hours

Reporting Relationships

Does this position formally supervise employees? No

ESSENTIAL FUNCTIONS

• Validates requestor identity and verify the authority of record requests, subpoenas, and consent forms.
• Validates requests for records and ensuring that accurate records are released as requested and adheres to minimum necessary standard.
• Processes requests for medical records 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
• 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.
• Prioritizes continuity of care record requests and communicates with other medical facilities and Capital Health departments to assure that information is received as soon as possible by requesting facility or department within Capital Health.
• Sorts and prioritizes mail. Disseminates records through approved methods by providing records via certified USPS mail or FedEx, secure electronic delivery according to policy.
• 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.
• Utilizes hospital faxing automation tools whenever possible to reduce the risk of dialing errors as well as ensure the use of a fax cover sheet with every fax transmission.
• Escalates any missing, incomplete, or incorrectly indexed medical record documents to management for resolution.
• Supports Risk Management and Legal teams to ensure medical record requests are fulfilled accurately and timely.
• Maintains current knowledge of regulatory requirements related to ROI. Meets or exceeds departmental accuracy and productivity standards. Fosters teamwork and collaboration.
• 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, Very Accurate 20/40, Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing Anticipated Occupational Exposure Risks Include the following: N/A

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.