Medical Records & ROI Specialist

Document Management

• Receive, review, and process incoming medical documents.
• Index and upload documents into the Electronic Health Record (EHR) system.
• Verify patient identifiers and document accuracy before indexing.
• Classify documents into appropriate document types.
• Ensure completeness and quality of scanned documents.
• Perform quality audits on scanned and indexed records.
• Resolve document mismatches and duplicate records.
• Maintain document retention and archival procedures.
• Support document retrieval requests from internal stakeholders.

Release of Information (ROI)

• Process medical record requests from patients, physicians, attorneys, insurance companies, and government agencies.
• Verify authorization forms for completeness and HIPAA compliance.
• Validate requester identity and legal authority.
• Determine appropriate records for release based on authorization.
• Redact protected information when required.
• Release records within regulatory turnaround times.
• Document all disclosures in accordance with HIPAA accounting requirements.
• Maintain confidentiality of Protected Health Information (PHI).
• Handle subpoenas, court orders, and legal requests according to organizational policies.
• Communicate with requestors regarding incomplete or invalid authorizations.

Compliance & Quality

• Ensure compliance with HIPAA, HITECH, CMS, Joint Commission, and organizational policies.
• Maintain confidentiality of patient information at all times.
• Participate in internal quality audits.
• Identify process improvement opportunities.
• Report privacy or security incidents immediately.

Customer Service

• Respond professionally to inquiries regarding medical record requests.
• Provide status updates to requestors.
• Coordinate with physicians, clinics, and HIM staff to resolve documentation issues.

Required Qualifications

Experience

• 13 years of experience in:
• Health Information Management (HIM)
• Medical Records
• Document Management
• Release of Information (ROI)
• Healthcare BPO (preferred)

Required Skills

• Knowledge of medical terminology
• Understanding of HIPAA Privacy Rule
• Knowledge of Release of Information regulations
• Familiarity with Electronic Health Records (Epic, Cerner, Meditech, Allscripts, eClinicalWorks, etc.)
• Strong attention to detail
• Excellent written and verbal communication
• Time management skills
• Ability to prioritize multiple requests
• Strong analytical and problem-solving skills
• Customer service orientation
• Typing and data entry proficiency
• Microsoft Office (Word, Excel, Outlook)

Contact: HR- [phone removed], [phone removed]

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