Texas Health Resources ROI Supervisor in Arlington, Texas
Texas Health Resources Seeks to hire a Release of Information Supervisor.
WORKS SCHEDULE / HOURS:
Monday - Friday 8:00a-5:00p
Required Minimum Education: Bachelor's Degree in Health Information Management or related field
Associate's degree and 2 years additional related experience in lieu of Bachelor's degree.
Required Minimum Experience: 3 years health information management services or related health care experience required and leadership experience preferred.
Skills: Knowledge of complex acute care hospital Health Information Management operations including revenue cycle, Data integrity and HIPAA privacy requirements. Understanding of HIM process in an electronic health record environment. Strong knowledge of federal and state privacy/laws regulations as they relate to release of protected health information. Ability to interpret regulatory requirements and apply complex concepts to facilitate organizational compliance. Knowledgeable of subpoenas and court proceedings. Ability to develop and maintain positive relationships with requestors (Insurance Companies, Attorney’s, etc.) and other stakeholders. Strong problem solving/critical thinking skills. Able to troubleshoot, isolate and lead resolutions of issues. Knowledgeable in compiling and reporting statistical data. Ability to lead team, projects, and processes.
Must be able to solve problems effectively and recommend creative resolutions. Excellent computer skills with proficient knowledge of MS Word, Excel, and PowerPoint. Ability to initiate action and creatively solves problems, meet goals, and produce results through effective supervision of employees. Effective oral and written communication skills. Effective problem solving skills with ability to deal with physicians, employees, and other hospital staff.
Required Licenses/Certifications: RHIT - Registered Health Information Technician required.
RHIA - Registered Health Information Administrator preferred.
Job Duties (includes, but not limited to):
Supervise day-to-day operations of release of protected health information (PHI) enterprise-wide.
Monitors turn-around-time of ROI requests to meet department's KPI and regulatory turn-around-time requirements.
Monitor productivity metrics for ROI Staff and provide timely feedback to improve performance.
Adjust staffing to meet turn-around-time.
Supervises and supports the work team, performing ROI Specialists duties, as needed. Ensures all employees receives, process, and fulfill requests.
Acts as subject matter expert for staff within the ROI department.
Coordinate accounts receivable process to include sending invoices, receiving payments, and posting payments in the point-of-sale system.
Appears in court or coordinates court appearances with requestors and HIMS Leaders.
Interacts with both internal and external customers/requestors to include, but not limited to: entities' Privacy Officers, THR Legal Services, attorneys, state agencies, third-party payers, etc.
Monitor and coordinate Accountable Care Organization (ACO), Healthcare Effectiveness Data and Information Set (HEDIS), Diagnosis Related Group (DRG) validation audits, etc. requests with Corporate Compliance.
Manage the ROI Health Record Amendment process, escalate as needed.
Proactively monitoring federal and state regulations for changes that impact ROI function and mitigate organizational risks.
Initiate the development and implementation of policies and procedures.
Audit and analyze work product of staff to ensure adherence to THR Policies and Procedures, the Health Insurance Portability and Accountability Act (HIPAA), HITECH, and other federal and state regulatory requirements.
Collects and analyzes data from various data sources including, but not limited to, Electronic Health Record, Call Center Software, eFaxing system, etc.
Provides valid and accurate data to HIMS Leadership.
Monitor time and attendance of employees, document improvement needed and provide counseling as needed for improvement.
Assists manager to include interviewing and selection of employees.
Coaching and mentoring employees in order to improve performance and professional growth.
Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served.
Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures, and counts more than 5,500 physicians with active staff privileges at its hospitals.
At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.
Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.