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Credentialing and ROI Specialist II
Craig Hospital

Location: Englwood, Colorado
Work Setting: Hospital
Job Function:
HIM Specialist, Release of Information Specialist
Job Type:
Full-Time

Introduction

Craig Hospital is a world-renowned rehabilitation hospital that exclusively specializes in the neuro-rehabilitation and research of patients with spinal cord injury (SCI) and traumatic brain injury (TBI). This position will incorporate both ROI and medical staff credentialing. Credentialing experience is not required, instead it will be on the job training.

Job Description

The Release of Information Specialist II is responsible for responding to written and verbal requests for release of information from medical records in accordance with confidentiality, privacy and security policies and procedures. This position will be responsible for assisting with the medical staff and AHP credentialing process and the biennial reappointment process. This position provides secondary telephone coverage to main phone number by answering and processing incoming telephone calls and serves as back up to the receptionist by assisting patients, staff, and all other customers. Primary methods of researching information include phones, internet, faxes, emails and letters.  This position will coordinate external case manager needs and transcribe dictation as needed.

  • Respond in a timely manner to requests for release of medical information according to state and federal regulations and hospital policies insuring that information is only released upon receipt of a HIPAA compliant authorization and insure that only the minimum necessary information is released.
  • Process release for medical information within established time frames while responding to urgent verbal/telephone requests for information within 24 hours of receipt or sooner as agreed upon by requester.
  • Process continuing care requests and authorizations for current inpatients to release to providers for continuing care.
  • Assist with prepping and scanning of documents into the EHR
  • Provide point of contact scanning training as needed and troubleshoots any technical problems associated with this process.
  • Assist with processing the medical staff and allied health professional appointment and reappointment applications.
  • Respond to requests for medical staff appointment verifications and reference information concerning medical staff members and allied health professionals.
  • Assist patients and staff with the HIPAA Privacy policies and procedures relative to the HIM department responsibilities regarding authorizations, patient access, request for amendments, accounting of disclosures and minimum necessary standards.
  • Assist with the data retrieval for medical staff clinical monitors and other quality improvement related studies, based on pre-established criteria.
  • Identify the monthly extended stay review cases, prepare and distribute the appropriate checklist for each case and compile the summary table for the MSEC meeting.
  • Communicate with attorneys and law enforcement, auditors, and insurance company representatives as well as other members of the Craig Hospital team regarding requests as needed.
  • Coordinate the HIM portion of the quarterly Outreach Clinic, which includes the tracking of document completion, processing release of information requests as they pertain to the Outreach Clinic.
  • Monitor the failed transcription/fax application queue and process any dictations that did not successfully fax.

Required Qualifications

  • Licensure/Certification/Registrations: Registered Health Information Technician (RHIT) or eligible to write the accreditation examination of the American Health Information Management Association and including valid bi-annual AHIMA re-certification or Registered Health Information Administration(RHIA) or eligible to write the registration examination of the American Health Information Management Association and including valid bi-annual AHIMA re-certification.
  • Education: Bachelor or Associate degree in Health Information Management
  • Experience: 3-5 years of HIM experience required; previous experience in release of information practices required. 1-3 years of Quality Assurance experience preferred. 1-3 years medical credentialing experience preferred
  • Skills & Abilities: Excellent organizational skills. Outstanding written and oral communication skills, Ability to work independently but also collaboratively as a member of a team. Ability to organize, prioritize and meet deadlines, while effectively managing multiple projects simultaneously. Ability to successfully handle multiple priorities, prioritize appropriately and manage frequent interruptions. Good problem-solving skills, detail oriented and excellent follow-through. Ability to relate to persons of all ages and diverse backgrounds, skills and abilities. Knowledge of basic medical terminology and medical record organization and content; Ability to determine if an authorization for release of information is HIPAA compliant. The ability to prepare letters and other written communications using proper grammar, spelling and punctuation; must be able to successfully and effectively communicate with a variety of personnel.  Ability to deal with diverse and confidential information with discretion and good judgment. Must have strong computer skills and be proficient in all Microsoft Office products

Preferred Qualifications

  • 1-3 years of Quality Assurance experience preferred.
  • 1-3 years medical credentialing experience preferred

Education Qualifications

  • Education: Bachelor or Associate degree in Health Information Management

Instructions for Resume Submission

Please apply through Craig Hospital website.

Apply Online: https://pm.healthcaresource.com/cs/craighospital#/job/1286

Posted: February 7, 2019 at 1:03 PM
Post ID: 35969

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