Mgr Release of Information / HIM ROI
Hartford HealthCare
Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. *_Position Summary:_* Oversees newly centralized system-wide Release of Information (ROI) processes within the Health Information Management (HIM) Department, ensuring they adhere to HIPAA and other regulations. Serves as key internal and external contact for ongoing regulatory and payer medical record audits. Provides oversight for designated regulatory audit activity throughout HHC HIM. Oversees and monitor payment protocol through Bank of America (BOA) lock box/CashPro, to process payments for record copies. Ensures team provides quality and timely customer service. *_Position Responsibilities:_* *Key Areas of Responsibility* 1. Demonstrates the ability to interpret and adhere to established policies and procedures related to HIPAA and adheres to all applicable HIM Departmental policies. Ensure compliance with Joint Commission/State/Federal and other regulatory agencies regarding health information. 2. Monitor - Special requestor, which are top priority and time sensitive; Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC), Executive Health Resources (EHR), appeals and legal requestor(s), National Government Service (NGS), 3. Livanta and Legal request are process timely. Ensures prompt completion and retrieval of medical records. Reference HIM ROI BOA lockbox 419394 report to monitor payment transactions. 4. Communicates – Provides performance feedback, orientation and training for new employees and evaluations to ROI Specialist. Manage workflow among employees to ensure maximum productivity and quality standards are met. Prioritized work to ensure completion of ROI function. Performs quality Assurance monitoring of work performance for ROI Specialists. Conducts team meetings to promote team engagement. Provides direction and oversight to subordinates. Participates in staff recruitment, hiring and department orientation. 5. Education – Participates in professional development activities, including keeping current with trends and best practices in health information management, updating HIM policies and procedures, personal leadership and management development. Develop and maintain strong working relationships with leadership in order to represent HIM in department and committee meeting as required. Provide guidance to hospital staff, when appropriate. 6. Promotes change management within a fast-paced environment, shares resources most cost-effectively and continually strives to improve the quality and productivity of the Release of Information Unit. 7. Performs QA review of the correspondence tracker (Cobius), monitor, reconcile and trend activity and develop both strategic and tactical. Update financials in Cobius. Provides ongoing communication and education in record compliance opportunities and performance improvement methodologies to staff, physicians and hospital employees. Serve as subject matter expert for Cobius software tracking database and liaison with vendor contact; train and monitor use. Collaborate with providers and clinician to complete patient Amendments. 8. Perform other duties and responsibilities as directed by leadership *_Working Relationships:_* *This Job Reports To (Job Title):*HC Sr. HIM Operations Manager (Nadine Daring) *# Workers Responsible For:* · *# Direct Reports:*12 · *# In-Direct Reports*: 5 *Internal:* · Monitor key performance indicators (KPIs) and work with managers to adjust operations accordingly to meet objectives** · Collaborate with HIM Management Team to ensure medical record denials associated with record released is minimized.** · HHC Compliance/Privacy** · HHC Revenue Cycle & Finance Department *External:* · Cobius System vendor – support contact** · State & Federal auditors Performant Recovery & National Government Services (NGS)** · BOA lockbox software** · Portals to transmit patient records (PHI)** *Education* · Minimum: Associate degree in Health Information Management or Technology. · Preferred: Baccalaureate Degree in Health Information Management. *Experience: Previous experience in a medical office or HIM department* · Minimum: o 1-2 years management experience in a Health Care setting. o Knowledge of release of information regulations, both Federal and State. · Preferred: o State, federal regulations and laws regarding regulatory audits. o Health Information Management and Release of Information. o Epic HIM modules o 2-3 years’ experience in Health Information** *Licensure, Certification, Registration* · Minimum: RHIT (Registered Health Information Technology) · Preferred: RHIA (Registered Health Information Administrator) / Bachelor’s degree *Language Skills* · Communicate orally and written effectively and professionally with customers to obtain desired results · Ability to read, write and interpret policies · Develop and present reports to key stakeholders *Knowledge, Skills and Ability Requirements:* · Superior communication and customer service skills required to work across HHC system, to effectively partner with both internal and external customers.** · Strong quantitative, analytical and problem solving to make appropriate and timely decisions. · Ability to work in a fast-paced environment · Strong computer skills with proficiency in MS Office suite, experience managing & tracking database. · Maintain a high level of professional integrity and confidentiality. · Excellent organizational skills to balance multiple priorities of highly detailed information. · Familiar with State and Federal Regulations and laws regarding regulatory audits. · Direct resources efficiently and effectively to achieve goals and objectives. · Manage change in a complex and constantly evolving.** · Ability to motivate others, encourage employee engagement & problem-solve. *_We take great care of careers._**__* With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is *your moment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Mgr Release of Information / HIM ROI* **Location:** *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition ID:** *24165604*
Confirm your E-mail: Send Email
All Jobs from Hartford HealthCare