Health Info ROI Lead

• 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.

Licensure, Registration, and/or Certification Required:

• 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).

Education Required:

• Associate’s Degree in Health Information Management.

Experience Required:

• 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 Required:

• 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 efficiencies
• Excellent 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

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.