Coordinator-HIM Patient Data Retrieval

Baptist Memorial Health Care

  • Memphis, TN
  • 1 day ago

    Highlights

    Serves as a resource to others including Denial Mitigation, Revenue Integrity, Patient Financial Services, Revenue Cycle Correspondence Team, etc. to avoid payer recoupments and revenue loss. processing of requests for patient health information (including attorney requests, subpoenas, continuing care, patients/patient representatives, etc.).

    Numbers & Facts

    LocationMemphis, TN

    Description

    Overview

    The Coordinator HIM Data Retrieval serves as subject matter expert responsible for oversight of all 
    functions related to timely and accurate processing of requests for patient health information (including 
    attorney requests, subpoenas, continuing care, patients/patient representatives, etc.).Coordinates activities 
    performed by vendor partners; including reviewing and validating vendor service agreements to ensure 
    compliance; including HIPAA, Joint Commission, legal, Federal and State regulatory standards related to 
    releasing patient information. Serves as a daily resource to Baptist’s internal and external counsel, Risk 
    Management and Privacy and Security as it relates. Monitors BOC facility ROI work queues to ensure 
    processing timeliness. Monitors Patient Financial Services (PFS) HIM Requests for Medical Records Epic 
    work queues to ensure timeliness and avoid revenue loss. Reviews and lends input with policies and 
    procedures for related activities requiring knowledge of Federal and State regulations. Serves as an Epic 
    process training resource for the entire organization and validates completion of workflow training to BOC 
    for granting user access. 
     

    Job Responsibilities
     Serves as subject matter expert responsible for oversight of all functions related to timely and accurate 
    processing of requests for patient health information (including attorney requests, subpoenas, continuing care, 
    patients/patient representatives, etc.) 
     Oversees activities performed by ROI vendor partners; including vendor staff quality audits, reviewing and 
    validating vendor service agreements to ensure compliance; reviews facility monthly invoices to ensure 
    accuracy; also HIPAA, Joint Commission, legal, Federal and State regulatory standards related to releasing 
    patient information 
     Serves as a daily resource to Baptist’s internal and external counsel, Risk Management and Privacy and 
    Security in all matters medical record related; places system Release Restriction flags as appropriate 
     Serves as a resource to others including Denial Mitigation, Revenue Integrity, Patient Financial Services, 
    Revenue Cycle Correspondence Team, etc. to avoid payer recoupments and revenue loss. 
     Monitors and reports on BOC facility ROI work queues to ensure processing timeliness, and coordinates with 
    facilities as needed 
     Monitors and reports on other BOC ROI work queues to ensure processing timeliness, such as ROI Open 
    Claims Attachments and coordinates as needed 
     Monitors corporate Outlook ROI inbox to prioritize and process incoming requests 
     Monitors and reports on ROI applications or platforms such as Sharing Hub and Chart Gateway to 
    review/validate authorization and complete requests, or other ROI needs; coordinates with other departments 
    as needed 
     Monitors and reports on Patient Financial Services (PFS) HIM Requests for Medical Records Epic work 
    queues to ensure timeliness and avoid revenue loss 
     Generates, reviews, formats and distributes other ROI reports such as Weekly ROI Productivity, payer ROI 
    frequency or others as requested 
     Responsible for reviewing and developing policies and procedures surrounding ROI activities requiring 
    knowledge of Federal and State regulations 
     Serves as the EPIC BOC ROI Credentialed Trainer, training resource for the entire organization and validates 
    completion of ROI workflow training to BOC for granting user access; coordinates termination of access as 
    applicable 
     Responsible for maintaining Epic ROI requestor directory (additions, deletions, etc.) 
     Serves as lead resource to assess and recommend process change, workflow opportunities, and technology 
    improvements to leadership and other departments 
     Other special projects and duties as assigned 

    Experience
    Description 

    Minimum Required 
     

    One year of experience working directly 
    with related processes, or; three (3) years 
    of experience working with medical record 
    documentation and regulatory 
    requirements in an acute healthcare 
    setting. 
     

    Preferred/Desired

    Three to five years’ 
    experience working with 
    related processes supporting 
    interdepartmental teams in 
    an acute healthcare setting. 
    Education
    Description Minimum Required Preferred/Desired
    Completed education from an 
    accredited program with 
    Associates Degree and Registered 
    Health Information Technician 
    (RHIT) certification through the 
    American Health Information 
    Management Association 
    (AHIMA). 

    Training
    Description Minimum Required Preferred/Desired
    Certifications as applicable to 
    specialized area of expertise.
    Special Skills
    Description Minimum Required Preferred/Desired
    Proficiency in communicating and 
    performing assignments to avoid 
    backlogs and provide expected 
    level of service to multiple 
    departments. Organization and 
    communication skills. Keyboard 
    dexterity and ability to focus while 
    seated for extended periods of 
    time. 
    Licensure
    Description Minimum Required Preferred/Desired 

    Bachelor's degree with 
    Registered Health Information 
    Administrator (RHIA) 
    certification through AHIMA.
    Project management 
    background along with 
    preferred education above.
    Strong organizational and 
    communication (verbal/written) 
    skills; ability to successfully 
    prioritize and multi-task among 
    competing needs; ability to work 
    independently and deliver on 
    expectations; subject matter 
    expertise.
    Registered Health Information 
    Technician (RHIT) certification 
    through the American Health 
    Information Management 
    Association (AHIMA)
    Bachelor's degree with 
    Registered Health Information 
    Administrator (RHIA) 
    certification through AHIMA
     

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