Release of Information/Outpatient Imaging Clerk/ Medical Coding Specialist

Job Description

Job Description

Description:

Job Summary (ROI):  

Locates, copies, logs and mails/ faxes/uploads/emails requested information for release when proper authorization is obtained. Responds to requests by performing duties in accordance with established hospital, departmental, and HIPAA guidelines. Retrieves information from scanned records as requested. Also email monthly Mortality and SCI/TBI reports to the State Dept. of Health.

Job Summary (MCS):

The ideal candidate will have experience in nursing home charges and coding, as well as clinic coding. 

Duties /Responsibilities (ROI): 

· Responsible for coordinating the release of information to all requestors, including patients, physicians, other health care providers, insurance companies, interdepartmental requests (ER, Medical Unit), and lawyers, in accordance with hospital policy, State, Federal and HIP AA laws. Maintains a log of all records requested and released.

· Verifies authorizations in accordance with hospital policy, State, Federal and HIPAA laws.

· Responsible for upholding security and confidentiality regulations for record access and review. Alerts Director of any unusual requests.

· Logs, processes, and fulfill medical record requests received by mail, fax, upload, or email. Releases copies of requested records and provides billing statements when applicable. Performs timely follow-up on outstanding payments for released records.

· Receives incoming calls to the department and routes them accordingly.

· Document status of medical record requests for better communication with the Business Office.

· Email monthly Mortality and SCI/TBI reports to the State Dept. of Health.

· Assists in other areas of the Department as needed.

Duties/Responsibilities (MCS):

· Review and analyze medical records to ensure accurate coding of diagnoses and procedures.

· Assign appropriate codes for nursing home charges and clinic services in accordance with industry standards.

· Stay updated on coding guidelines and regulations.

· Collaborate with healthcare providers to clarify any discrepancies in documentation.

· Conduct audits to ensure compliance with coding practices and identify areas for improvement.

· Provide training and support for staff on coding procedures and best practices.

  Required Skills/Abilities (ROI): 

· Knowledge of authorization processes, record release procedures, and the appropriate handling of protected health information (PHI).

· Excellent customer services skills to promote positive experiences for patients and healthcare providers

· Commitment to patient confidentiality

· Ability to manage multiple requests, prioritize tasks, and keep a system for tracking records and authorizations.

· Familiarity with electronic health records (EHR) systems

·  Strong organizational skills; effective communication and writing skills 

· Effective telephone skills

· Eager to learn and take on new roles, duties, and challenges. 

· Collaborate effectively with others

Required Skills/Abilities (MCS):

· Excellent attention to detail and accuracy in coding.

· Strong analytical and problem-solving skills.

· Ability to work independently and as part of a team.

· Effective communication skills, both written and verbal.

Education/Licensure:  

· High school diploma or equivalent required.

· Associate degree or certificate in Office Management, Medical Office Management, or related field preferred.

· Certification in medical coding (e.g., RH-CBS, CBCS, CCA, CCS) is preferred.

· Candidates who do not possess a coding certification at the time of hire must obtain an approved coding certification within one (1) year of employment.

Experience Required: 

· Secretarial/ clerical experience, knowledge of medical terminology helpful. 

· Experience with public interaction, typing, computer, and telephone skills.

· Strong knowledge of ICD-10, CPT, and HCPCS coding systems.

· Experience in nursing homes, hospitals, and clinic coding is highly desirable.

Physical Requirements: 

· Cannot have physical limitations that would prevent long periods of sitting

· Must be able to lift 10 pounds in weight.