The Information Coordinator is responsible for verification of entitlement for disclosure of protected health information, tracking the request and locating the accurate information in our hybrid record systems. Additional responsibilities include ensuring that requestors receive appropriate, timely and accurate information for continuity of care, legal/insurance claims, audits and research. The Coordinator must foster a high level of customer service while concurrently determining entitlement and disclosure of all protected health information provided to customers. Coordinator must have good working knowledge and be able to apply state and federal rules pertaining to patient privacy including HIPAA, HITECH and Omnibus laws/rules while simultaneously assuring that there is appropriate and timely disclosure of patient information, documentation integrity, patient rights, reimbursement and meet Meaningful Use time-sensitive criteria.
Principle Accountabilities: % of Time Spent
1. Answer phone regarding release of information inquiries 8%
2. Serve patients/patient representatives in person 10%
3. Process requests for litigation 50%
4. Process requests for third party reviewers: QIO/RAC/MIC/MAC 23%
5. Process requests for continuity of care 8%
6. Performs other work duties as assigned 1%
Total = 100%
- Handle all requests for medical record information that include continuity of care, legal purposes, insurance reasons, third party reviewers such as RAC, WPS, Primaris, CERT, QIO and Missouri PRO, patient and legal representative, etc.
- Understand and comply with Federal HIPAA and state privacy rules as they relate to the release of information processes, including guidelines in training manuals and hospital policies and procedures.
- Keep current with ongoing or new legislative issues relating to release of information.
- Provide input for system requirements and functionalities to meet the operational needs to perform ROI functions.
- Log and track requests and disclosure.
- Verify the completeness and accuracy of the requests, the entitlement of the requester, the identity of the patient and the appropriateness of the information requested.
- Locate/retrieve/access all records from various computer systems as well as paper charts to fulfill the request for pertinent information.
- Release information to persons and agencies in compliance with HIPAA and other relevant regulations and hospital policies.
- Mitigate potential breaches by carefully examining the information prior to release.
- Develop goals and plans to prioritize, organize and complete the requests. Determines appropriate fees for copies.
- Maintain the confidentiality and security of patient data stored in the medical record and electronic data systems.
- Serve as a resource for Release of Information Specialists and interdepartmental staff.
- Assist with training of new Team II Correspondence Staff.
- Represent St. Luke's in a court of law as the custodian of the medical record
- Perform duties and responsibilities in a manner consistent with our mission and values.
Associate or Bachelors degree in healthcare related field. Prefer certification as RHIT or RHIA.
Previous experience in a medical office with correspondence, accounting and/or billing experience preferred. Medical terminology required. Must possess excellent communication and customer service skills: *Active Listening-Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. *Reading Comprehension-Understanding written sentences and paragraphs in work related documents. *Time Management-Managing one's own time and the time of others. *Speaking-Talking to others to convey information effectively. *Writing-Communicating effectively in writing as appropriate for the needs of the audience. *Active Learning-Understanding the implications of new information for both current and future problem-solving and decision-making. *Critical Thinking-Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. *Social Perceptiveness-Being aware of others' reactions and understanding why they react as they do. *Judgment and Decision Making-Considering the relative costs and benefits of potential actions to choose the most appropriate one. *Service Orientation-Actively looking for ways to help people. *Systems Evaluation-Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system. *Complex Problem Solving-Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions. Abilities: 1) Oral Comprehension-The ability to listen to and understand information and ideas presented through spoken words and sentences. 2) Written Comprehension-The ability to read and understand information and ideas presented in writing. 3) Oral Expression-The ability to communicate information and ideas in speaking so others will understand. 4) Information Ordering-The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations). 5) Near Vision-The ability to see details at close range (within a few feet of the observer). 6) Speech Clarity-The ability to speak clearly so others can understand you. 7) Speech Recognition-The ability to identify and understand the speech of another person. 8) Category Flexibility-The ability to generate or use different sets of rules for combining or grouping things in different ways. 9) Written Expression-The ability to communicate information and ideas in writing so others will understand. 10) Problem Sensitivity-The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem. 11) Deductive Reasoning-The ability to apply general rules to specific problems to produce answers that make sense. 12) Selective Attention-The ability to concentrate on a task over a period of time without being distracted. 13) Inductive Reasoning-The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
Employee is required to sit, stand and walk. Employee must lift/carry a medium (1-50 lbs) load occasionally. Employee is occasionally required to bend, squat, crawl, kneel, reach forward, reach overhead, lift floor to waist and lift waist to overhead. For repetitive action, employee is required to use both hands for simple grasping, pushing/pulling, and fine manipulation. Employee is exposed to normal office environment where there is no discomfort due to temperature changes, dust, noise and the like. (Occasionally: 1-33%, Frequently: 34-66%, Continuously: 67-100%) The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties. Job Relationships: Member of a comprehensive health care team. Group leader is appointed and reappointed annually. Takes Direction from: Assistant Director, Associate Director, and Director of Health Information Services Provides Direction to: Other HIS team members and interdepartmental staff Supervised by: Assistant Director, Health Information Services
Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's is dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence, and respect for each other and those we serve.
Core Values: Human Dignity, Compassion, Justice, Excellence, and Stewardship.
Human Dignity: We accept and treat all persons as being created in the image of God.
Compassion: We respond with caring to the needs of others as if they were members of our family.
Justice: We honor each person's rights and responsibilities in light of the common good.
Excellence: We set and strive to attain high standards of performance and continuous improvement.
Stewardship: We use our talents and resources wisely, with honesty and integrity.
FACES - Friendly - Available - Caring - Efficient - Safe
Communication Standards: Promotes and provides courteous and effective communication with internal and external customers.