Medical Records Release of Information Specialist

Job Summary

Under the direct supervision of the Manager of Revenue Integrity, the Medical Records Release of Information Specialist is responsible for managing all components of correspondence, medical records, and release of information. This position is responsible for all aspects of correspondence management, medical record management, storage, and release for all Phoenix Behavioral Health entities. Collaborates with the Manager of Revenue Integrity to establish, design, implement, and enforce policies and procedures related to the management, storage, and release of medical records per all HIPAA guidelines.

Applications utilized include: Kipu, CollaborateMD, Codify, Monday Board, Excel, Word, Power Point.

Education

• Associate’s degree in related field and/or 2 years healthcare medical records experience preferred.
• Certification/Licenses: Current RHIT or RHIA preferred.

Experience / Qualifications

• Demonstrated knowledge of medical terminology.
• Medical Business Office experience required, Substance Abuse experience preferred.
• Computer experience and working knowledge of MS office suite, KIPU and CollaborateMD experience preferred.
• Must be able to communicate effectively in English (verbal/written).
• Knowledge of regulatory compliance issues, ICD-10 and CPT-4 medical record coding and UB04 and HCFA billing.
• Demonstrated knowledge with Joint Commission and Medicare standards.
• Experience with HIPAA compliance standards and guidelines required.
• Thorough understanding of release of information (ROI) compliance and guidelines.
• Familiarity with payer reimbursement procedures and methodologies.
• Ability to work independently while effectively managing different priorities and projects.
• Ability to read, analyze, and interpret common and technical journals, statistical reports, and other related documents.
• Ability to effectively present information to management.
• Ability to define problems, collect data, establish facts, and draw valid conclusions that drives process improvement, quality, and productivity.
• Ability to analyze business situations, controls and risks, and recommend practical solutions.

Position Summary

• Retrieves, opens, and scans all incoming correspondence to appropriate electronic folder.
• Maintains a daily log of all payer medical record requests and patient release of information (ROI) requests.
• Processes medical record and ROI requests daily.
• Reviews, develops, implements, evaluates, and revises payer medical record requests and patient (ROI) request guidelines to optimize efficiency and workflow.
• Accountable for the timely submission of payer medical record requests and patient ROI requests.
• Point of contact for patient ROI requests.
• Continuously seeks ways to streamline the medical record request and ROI process by working with the Manager of Revenue Integrity (RI) to maintain compliant documentation and medical records.
• Point of contact and leads the retrieval of all records for audit requests.
• Accountable for daily review and reconciliation of all requests on payer portals to ensure timely submission of medical records.
• Attends all meetings with Manager of RI regarding new and/or updated coding and billing documentation payment guidelines.
• Serves as subject matter expert (SME) of medical record and ROI requests.
• Leads complex projects related to payer audit initiatives.
• Assesses the accuracy and completeness of medical records and reports findings to the Manager of RI.
• Provides support to Billing Department to resolve billing issues.
• Ability to communicate effectively with physicians, nurses, and clinical departments.
• Must be organized and ability to prioritize work.
• Resolves issues and problems of software systems and discusses with software analysts.
• Possesses a thorough working knowledge of billing requirement for various payers.
• Excellent communication skills both written and verbal, and interpersonal skills.

Other Responsibilities

• Performs other job-related duties as required.
• Supports the Manager of RI and other RCM Management by assisting with research of issues arising from medical record documentation and audits.
• Supports the Manager of RI and other RCM Management by presenting recommendations of QA activities geared to address specific areas of high risk in medical record documentation adequacy and compliance.

Additional Job Requirements

• Performs other job-related duties within the job scope as requested by RCM Management.
• Protects confidential and protected patient health information and maintains strict confidentiality in accordance with HIPAA Laws, regulations and company policy.
• Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
• Embodies the values of the organization’s mission, vision, and goals always.
• Represents Phoenix Behavioral Health in a positive and professional fashion and makes all individuals feel as comfortable as possible.
• Conducts all business in a professional manner maintaining respect for all individuals.
• Complies with departmental and company-wide policies and procedures.
• Maintains constant awareness of potential safety hazards ensuring necessary safety precautions.
• Reads and complies with established Organization’s and Patient Accounts policies and procedures.
• Exemplifies the highest levels of quality and integrity aligned with the organization’s standards, policies and procedures.

Physical Requirements

• Minimal physical effort.
• May require some lifting - up to twenty pounds.
• Close vision, color vision, and ability to adjust focus are required.
• Moderate noise levels.
• Works in a clean, well-lighted and ventilated environment with no apparent exposure to physical hazards.

Threshold Requirements

• These threshold requirements are required and completed yearly basis
• Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation
• TB/PPD Surveillance Program
• Maintenance of required professional licensing and/or certification(s)

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $20 - $23