Job Description

Organize, maintain and disclose content considered part of the patient's electronic health record in accordance with healthcare requirements, professional practice standards, and state and federal regulations while ensuring confidentiality and security of patient information and protect patients' health information from unauthorized access and use.

Responsibilities

Release of Information

• Prepares correspondence and records for the release of patient information following State and Federal Regulations.
• Reviews health information requests and assures all requested information is retrieved and released.
• Verifies that patient authorizations are completed and accurate meeting HIPAA regulations.
• Processes subpoenas, court orders and all other requests for records. All legal requests including attorney requests are required to be reviewed by the RM/MR Manager or VP of Risk Management.
• Coordinates health information retrieval as necessary.
• Completes all requests for records as soon as possible but no later than 30 days from date of receipt.
• Use ROI software tools to electronically record data for collection, storage, analysis, retrieval, and reporting.
• Maintains knowledge of current HIPAA and release of information regulations.
• Works with patients, medical staff, and other departments to provide patient information to enhance patient care.

Medical Record Integrity

• Organize and manage health information data using various applications and databases.
• Ensure health information quality, accuracy, accessibility, and security in both paper and electronic systems.
• Apply healthcare requirements to review health information for timeliness, completeness, accuracy, appropriateness, and compliance of healthcare data and patient health records.
• Interact and/or educate other health care practitioners (including medical and nursing staff) to maintain complete and accurate health information and records.
• Apply principles of information governance to health data and records.

Additional Duties and Responsibilities

• Responds to incoming calls and assists callers or directs to the appropriate staff in a courteous and professional manner.
• Provides assistance, guidance, and direction t all visitors and callers in a professional manner.
• Coordinates retrieval of health information from the electronic medical record and contracted offsite storage.
• Coordinates offsite health information storage by identifying appropriate recrods for storage, manifesting and logging records, and labeling appropriately to identify destruction dates.
• Assists other hospital departments with health information storage processes.
• Assists other health information team members with responsibilities as needed.
• Participates in departmental performance improvement initiatives.

Qualifications

• High school diploma or equivalent required
• One year experience in a healthcare setting