ROI Coordinator

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The HIM Release of Information Coordinator role is the foundation of the HIM Department operations and has significant impact on Patients, Physicians and Clinicians as well as the Organization. The HIM Analyst role is crucial to compliant, timely and accurate medical records and release of information to support continuity of care, and Department operations. Under the direction of HIM Department Leadership, the HIM Analyst is responsible for any or all of the below daily operational work in various technical aspects of the HIM Department.

This is a full-time position based at the CMH hospital Monday through Friday, 100% ONSITE. Working hours are 8:00 AM - 4:30 PM PT.

Primary work is answering department phone, processing continuity of care and patient ROI requests, review subpoenas to validate, crossed trained in all the other types of ROI for coverage.

• Medical Record Processing
• Physician Suspension
• Birth & Death Certificates
• Release of Information
• Medical Record Quantitative and/or Qualitative Review
• Submission of State Required Reports / Vital Statistics

Medical Record Processing:

• Responsible for timely and accurate collection and filing of Department identified disparate documentation and/or data into the EHR; including paper and electronic file Prep, Scanning and Indexing (ex. Paper, Faxed or Scanned Files, Files on Shared Drives, Dictations, Interfaced testing, Diagnosis/Procedure Coding)
• Performs quality monitoring of patient medical records; ensure integrity of the patient medical record; one patient per MRN, complete and consistent encounter documentation
• Evaluates medical records for missing documentation, authentication, inaccurate or incomplete information and assigns documentation deficiencies to the appropriate physician
• Fluent in all policies and procedures related to Chart Processing and Deficiencies

Physician Suspension:

• Assists physicians with completion of incomplete records; provides training for physicians for the electronic completion of incomplete records
• Responsible for timely, accurate & complete notifications to physicians of deficiencies & delinquencies
• Contact physicians timely and in the modes expected to provide every opportunity to assist with completion of medical record deficiencies to avoid Suspension
• Effect and Remove Suspension of physician privileges for delinquent medical records in accordance with policies and procedures
• Fluent in all policies and procedures related to Chart Processing, Physician Notifications, Deficiencies and Delinquencies and Suspension

Birth & Death Certificates:

• Responsible for preparing a Certificate of Live Birth for each birth that occurs at the Client including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the birth
• Responsible for preparing a Certificate of Death for each death that occurs including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the death
• Follows security procedures to restrict access to the blank and completed certificates to authorized personnel only

Release of Information:

• Assist Requestors with proper submission of ROI Requests (via phone, walk-in, portal, etc.)
• Receive & log requests accurately and timely, in accordance with policy and procedure (mail, fax, email, portal, etc.)
• Validate Requests are Compliant prior to processing / Notify Requestors appropriately and timely when additional information is required
• Coordinate on-site record reviews; assists requestors with access to and release of information
• Receive & Process Patient Amendment and Accounting of Disclosure Requests
• Fluent in all organization and Department policies and procedures related to ROI

Medical Record Quantitative and/or Qualitative Reviews:

• Perform regular and/or adhoc medical record reviews at the direction of leadership

Submission of State Required Reports / Vital Statistics:

• Compile & submit State Required Reports at the direction of leadership
• Compile & submit Vital Statistics at the direction of leadership

Responsibilities to Client:

• Ensure excellent Customer Service in all interactions including but not limited to Written and Verbal communications in person, on the phone, over email and in any meetings
• Follow all applicable policies and procedures related to being onsite or telecommuting
• Meet or Exceed performance expectations of the Client
• Anticipate customer needs and initiates action to meet and/or exceed those needs
• Identify and recommend ways to improve Client satisfaction

What You Will Need:

• High School Diploma or GED
• 0-2+ year's experience working in an office, business, operations, customer service or healthcare field.

What Would Be Nice To Have:

• Understand and apply HIPAA regulations
• Use office equipment and has basic computer skills and knowledge
• Understand and work when given oral and written instructions
• Work with minimum supervision after being given instruction

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.