HIM Operations Specialist - HIM Operations

HIM Operations Specialist

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Summary: This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patients right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Associates will also be responsible for analyzing patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations and will monitor the chart completion activities of all physicians including the limitation of Admitting and Scheduling Procedures. They will work cooperatively with all HIM leadership, staff, physicians and internal and external customers to ensure goals are met and quality targets are reached and maintained.

Responsibilities: 1. Provides customer service support and processes correspondence and requests for patient information in accordance with organizational policies, HIPAA, State and Federal regulations, and ensures the validity of dates and content of the requests in a timely manner. 2. Prioritize release of information requests, retrieves medical records from active and inactive and interdepartmental locations, electronically tracks and delivers records in accordance with established procedures. 3. Processes requests, assures confidentiality is maintained, handles STAT requests, sends action letters timely, ensures turnaround times are between 3 and 5 days, enters requests, and requests charts in a timely manner. 4. Performs self-quality checks on all work to assure accuracy of the release and that confidentiality is maintained. 5. Handles all requests and inquiries for patient health information whether received via mail, fax, phone or in-person. 6. Ensures the requesting party has a legal right to request a patient's medical information 7. Provide excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. Helps resolve customer service matters in a polite manner. 8. Coordinates activities with outside vendor copier service to ensure medical records are available by the deposition date. Analyzes and monitors record completion activities of suspended physicians and generates automated incomplete record notices to physicians. Assists physicians in record completion 9. Analyzes patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations. Evaluates scanned images for proper indexing, patient verification, and legibility according to department standards. Identifies scanning quality and indexing errors, with immediate correction through rescanning of the batch and/or image. 10. Works closely with departmental leaders to promptly research and resolve issues reported by physicians, other departments, and customers.

Education Requirements: High school diploma or general education degree (GED) Licensure/Certification Requirements: No licensure or certification required. Professional Experience Requirements: Requires one (1) year of general medical record experience Knowledge/Skills/and Abilities Requirements: