Health Information Representative ROI Lead
Job ID:
R129899
Shift:
1st
Full/Part Time:
Full_time
Pay Range:
$21.45 – $32.20
Location:
Milwaukee, WI – 7800 N 113th St
Milwaukee, WI 53224
Benefits Eligible:
Yes
Hours Per Week:
40
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate’s job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Schedule Details/Additional Information:
Monday – Friday 8-4:30Role will be hybrid after fully trained.
Provides oversight to the Release of Information (ROI) or Provider Support functions. Assures timely performance of all duties by the site staff. Maintains an efficient operation of the department and follows up on all customer service issues. Acts as a primary resource for designated department team members and provides day to day work direction. Identifies opportunities to improve accuracy and practices, and assists in ensuring compliance with federal, state and/or other regulatory agencies.
Coordinates, monitors and assists with daily work activities of team members to lead a cohesive team and meet established key performance indicators. Assists leadership by creating and updating policies and procedures. Ensures adherence to policies and procedures to enhance quality, consistency, efficiency, and standardization across assigned sites.
Gathers information and identifies opportunities to improve accuracy and practices. Drives change to revise workflows to improve efficiency and over all effectiveness. Verifies time entry and productivity calculations to evaluate work performance.
Coordinates quality review activities with site quality improvement coordinators ensuring all quality reviews are being conducted timely and accurately.
Takes action, using appropriate discretion, to address internal and external customer needs. Investigates concerns to resolve issues and provides outstanding customer service. Collaborates with appropriate departments to respond to questions and or issues related to patient portal, billing, ROI and HIPAA patient health information change requests (amendments). Accurately documents and updates actions taken.
Participates in quality improvement groups, ROI Committee and other multi-department meetings to identify and resolve problems, remove barriers, and improve services and operations.
Validates and assigns applicable codes with the daily charge entry and posting of payments received for provider(s) outside services.
Interprets, assigns and documents clinical information from the patient medical record related to the condition and diagnosis included on the forms requests.
Verifies medical record requests and signs Certification of Authenticity of duplicate records for legal proceedings. Has expert knowledge and understanding of a valid authorization and the Federal and state laws and Advocate Aurora Health policies relating to confidentiality and release of records requirements.
Assists Site Privacy Officer and maintains up-to-date knowledge of the HIPAA and state privacy laws. Facilitates and coordinates investigations within the assigned entity/business line, is the expert resource, and educator for HIPAA and state privacy laws. Provides timely guidance and support to assist and ensure compliance with applicable privacy regulations.
Acts as a primary resource within the department and is able to perform more complex issues/problem solving and resolution. Provides and assists with new employee orientation and training.
Scheduled Hours
Monday – Friday 8-4:30
Licenses & Certifications
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA).
Degrees
Associate's Degree in Health Information Management.
Required Functional Experience
Typically requires 3 years of experience in Typically requires 3 years of experience in medical records in a large, complex health care organization that includes experiences in release of information
Knowledge, Skills & Abilities
Ability to create and promote a culture of inclusivity and engagement in which team members’ differences are embraced and leveraged to strengthen team effectiveness and efficienciesExcellent verbal, presentation and written communication skills.Strong multi-tasking, and time management skills. Ability to prioritize workload, and work under pressure in a fast-paced environment with time constraints.Advanced computer skills, including Microsoft Office including Word, Excel, PowerPoint, Outlook
Health Information at Advocate Aurora
Aurora Health Care is the largest health system in Wisconsin and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. The state’s largest private employer, the system serves patients across 17 hospitals, more than 70 pharmacies and more than 150 sites of care. Aurora Health Care, in addition to Advocate Health Care in Illinois and Atrium Health in the Carolinas, Georgia and Alabama, is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.
