HIM ROI Analyst II

Intermountain Health Lutheran Hospital

Full time

R185214

Job Description:

Supports the HIM Release of Information program through the facilitation of ROI-related processes and workflows designed to ensure the complete, accurate, timely and compliant release of information. The HIM Analyst II will collect, process, retrieve, analyze, and disseminate health care information/medical records for purposes of patient care, Subpoenas, attorney, regulatory and Risk Management requests. The incumbent will perform the release of information duties ensuring all requests are compliant, adhering to hospital and clinic policy as well as State and Federal guidelines.Scope

1.Monitors, tracks, analyzes and completes release of information requests, including SSA,document distribution, face sheets, requests for third party billing companies and various audits as assigned, based on appropriate authorization and policies and procedures.

1. Enters new requestors into the ROI database ensuring no duplicates are created. Work with the Central Verification Office to ensure provider information is up to date and matches their system. Auditing of the database to ensure accuracy.

2. Retrieves health information in response to requests for information ensuring accuracy by analyzing records for appropriate dates of service, verification of identity, and specific content requested. Responsible to retrieve and analyze health information from multiple sources/systems (Various 3rd party EHR systems, PACs Radiology, etc); electronic, paper, microfilm, microfiche, scanned images.

3. Ensures compliance with guidelines/requirements related to patient confidentiality and release of information according to established policies, procedures and regulatory requirements including the 21st Century Cures Act (Information Blocking), and the Health Information Portability Accountability Act (HIPAA), Joint Commission, CMS and OCR.

4. Directs service representative to patients, attorneys, law enforcement, auditors, and insurance company representatives as well as a variety of other professionals to resolve issues with payments, records, expediting requests and help with procuring authorizations as well as managing any complaints or concerns. Supports the cROI analysts II with printing records, and CDs.

5. Coordinates with physicians and staff when the requested information/results are not available in EPIC or when needing physician approval. Provides assistance to patients in completing authorization forms, guiding them on the process of ROI, patient portal (MyChart) and completing their requests with high patient satisfaction.

6. Performs quality checks on all work to ensure accuracy of the release, and confidentiality by confirming patient identifiers, information to be released, time frame, requestor information and follow regulatory requirements minimum necessary is released in order to avoid breeches and possible legal actions.

7. Participates in problem solving, be empowered to expedite decisions, analyze and recommend options and follow-up on outstanding issues related to their work.

8. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.

9. Performs other duties as assigned.

Minimum Qualifications

Required

High School Diploma or Equivalent is required

One (1) year experience in Release of Information HIM Department is required Degree in related field may satisfy 6 months of experience requirement

Preferred

Associates Degree or Bachelors Degree in related field is preferred

Registered Health Information Technologist (RHIT) or Registered Health informationAdministrator (RHIA) is preferred

Two (2) years of experience working in Release of Information HIM Department is preferred

To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ..... Intermediate knowledge of medical terminology. Knowledge of Release of Information requirements. Excellent customer service and computer skills. Familiarity with electronic medical records systems preferred. Ability to navigate through EMR / Content Management systems (preferably Epic and OnBase) and locate information or identify source of required information. . ...... Knowledge of Google Workspace. Detail oriented, ability to ensure accuracy in work product. Must be able to demonstrate problem solving skills. Verbal and written communication skills. Ability to work independently and use good judgement in decision making. Skilled in personal organization and time management. Demonstrates ability to learn/use various hospital and clinic information systems at a high level. Ability to work with all hospital personnel positively and productively. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required Ability to work nights and/or weekends is required for identified positions

Hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, sitting, speaking, squatting/kneeling, standing, and walking.

Location:

Intermountain Health Lutheran Hospital

Work City:

Wheat Ridge

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$19.41 - $28.14

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm\_source=Workday&utm\_medium=Redirect&utm\_campaign=CareerHome\_workday) .

Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.

Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [email protected] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

Thanks for your interest in continuing your career with our team!