Experience:
0-1 years of experience
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Employment Type:
Full time
Posted:
11/9/2018
Job Category:
Information Services
Release of Information Specialist - Regional Process...
(This job is no longer available)
Kaiser Permanente | Clackamas, OR
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Job Description

Description:

Under indirect supervision, maintains confidentiality of protected health information (PHI). Reviews requests for health information. Abstracts case histories. Prepares medical records for use in legal proceedings. Supports compliance and Principles of Responsibility. Adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures. Reports and/or resolves issues of non-compliance.

Essential Responsibilities:

* Meets compliance requirements by complying with all federal, state and local law, rules and regulations, as well as Kaiser Permanente-s policies and procedures for the release of health information by applying understanding of such law, and using judgment as to how best respond to a specific request based on the authorization provided for the release of PHI.
* Accurately and proficiently analyze and interpret the health information to assure appropriate disclosure of health information to attorneys, insurance companies, outside providers of health care and others, as directed by the patient or as compelled by law or regulations.
* Prepare health records in response to Subpoena Duces Tecum for court appearance or depositions.
* Consult with health care providers to ascertain undocumented information such as patient data not entered into the health record by the provider.
* Access various resources within the Kaiser Permanente system to locate health record information which may be found in secondary records, unfilled material, computerized data and dictated but not transcribed documentation in order to obtain time loss information, diagnosis, treatment, physical limitations or other required information requested by attorneys, insurance companies, outside providers and others.
* Create summaries/abstracts of health information from paper and electronic health documentation.
* Manipulate a variety of computer systems which are intricately designed programs in order to extract information regarding diagnosis, procedures, service utilization, length of stay, dates of service, ICD Codes, and provider identification.
* Create / maintain documentation log of health information released so colleagues can clearly track what has been done.
* Access Intranet and Internet to research laws and health related sources of information.
* Compute costs for services provided and create lists for billing purposes.
* Coordinate and track completion of physician forms and requests for narratives from attorneys, insurance companies, etc. May require communicating with physician regarding completion.
* Performs other duties as assigned.

Basic Qualifications:

Experience

* Four (4) years of experience in disclosure of Protected Health Information (PHI), with an emphasis on the legal aspects, in a healthcare setting or a recent graduate of an accredited Associate Degree Health Information Management (HIM) program and two (2) years of experience in a healthcare setting.
* One (1) year customer service experience.

Education

* High School Diploma or GED.

License, Certification, Registration

* Certification of medical terminology and abbreviations, current within two (2) years or final candidate(s) will need to complete the Kaiser Permanente medical terminology assessment with a minimum competency score of 84% or higher.

Additional Requirements:

* Ability to type minimum 40 wpm with above average accuracy.
* Proficiency in the use of applicable computer software (e.g., MS Word, Excel, Outlook) and other work related tools (e.g., fax, copier, scanner, multi-line phone system, etc.).
* Ability to understand and communicate Washington and Oregon laws and regulations that relate to release of information and disclosure of PHI and principles of confidentiality.
* Familiarity with health record chart content, order, and ability to quickly scan large volumes of documents in paper form or online for sensitive information and requested documentation.
* Ability to consistently meet or exceed department quality and productivity standards.
* Strong organizational skills and ability to work independently and manage multiple priorities in a busy environment with frequent interruptions and time demands.
* Demonstrated courtesy, helpfulness and respect in dealing with customers.
* Good interpersonal skills with the ability to communicate effectively (both written and oral) with internal and external customers.
* Willingness to work in a Labor/Management Partnership environment.

Preferred Qualifications:

* Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.
* Comprehensive knowledge of anatomy and terminology preferred.
* Basic knowledge of biology/anatomy/disease processes preferred.
* Basic knowledge of laboratory tests and what they are ordered for preferred.
* Basic knowledge of drugs and what they are prescribed for preferred.
* Demonstrated accuracy, medical abstracting and time management skills preferred.
* Good knowledge of Kaiser Permanente function and departments preferred.
* Familiarity with Health Information Management policies and procedures (Privileged Information, Guidelines for Authorizations, Health Record Security, Health Record Documentation) preferred.
* Comprehensive knowledge of Federal law and Health Insurance Portability and Accountability Act of 1996 preferred.
* Strong knowledge of Oregon & Washington laws relating to health information preferred.

Primary Location: Oregon,Clackamas,Regional Process Center 10220 SE Sunnyside Rd. Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun, Working Hours Start: Varies Working Hours End: Varies Job Schedule: Call-in/On-Call Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: SEIU - Local 49 Job Level: Individual Contributor Job Category: Medical Records Department: Release of Information Travel: Yes, 10 % of the Time

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About Kaiser Permanente

Company Description

Serving approximately 8.7 million members in nine states and the District of Columbia, Kaiser Permanente is America's leading nonprofit integrated health plan.

Kaiser Permanente's mission is to provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

Our Northern California Region provides integrated health care services to approximately 3.2 million members. Approximately 4,400 physicians of The Permanente Medical Group provide services at 20 medical centers and numerous medical offices.

Company History

Founded in 1945, Kaiser Permanente is the nation’s largest not-for-profit health plan, serving more than 8.6 million members, with headquarters in Oakland, Calif. It comprises:

  1.   • Kaiser Foundation Health Plan, Inc.

  • Kaiser Foundation Hospitals and their subsidiaries

  • The Permanente Medical Groups.

At Kaiser Permanente, physicians are responsible for medical decisions. The Permanente Medical Groups, which provide care for Kaiser Permanente members, continuously develop and refine medical practices to help ensure that care is delivered in the most efficient and effective manner possible.

Kaiser Permanente’s creation resulted from the challenge of providing Americans medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Among the innovations it has brought to U.S. health care are:

  • prepaid health plans, which spread the cost to make it more affordable

  • physician group practice to maximize their abilities to care for patients

  • a focus on preventing illness as much as on caring for the sick

  • an organized delivery system, putting as many services as possible under one roof

Mission & Values

As a health care organization in the 21st century, we have a mission--to provide quality care for our members and their families, and to contribute to the well-being of our communities.

Working Here

When you bring your career to Kaiser Permanente, the work you do directly affects the health of millions. From the business people who shape our policies, to the IT professionals enabling life-saving data, to the nurses and physicians on the front line of patient care, everyone here has a role to play in the care continuum. Knowing you have a place in that process and witnessing the outcome of the work you do is empowering. It gives you a cause to stand behind. And it makes you feel proud of the work you do every day. When people witness the impact of their contributions, they excel. Together we have the power to make a difference.

Hiring Information

The first step in beginning your career search is to look for open jobs that match your skills, qualifications, and interests. Each posting includes a description of the position and the minimum required qualifications. Once you find a position you are interested in, register for an account and provide your information for consideration online.

Benefits

As an employee, you are eligible for benefits according to your full-time/part-time status and the number of hours scheduled to work per week. Benefits may vary based on your Kaiser Permanente region, position, scheduled hours, and representation by collective bargaining or employee groups, but generally include:

  • generous vacation, holiday, and sick leave

  • medical care (including prescriptions), vision, mental health, and dental care

  • disability and life insurance coverage

  • educational opportunities and tuition reimbursement

  • employee assistance programs

  • health care, dependent care, and transit spending account options

  • retirement plans

In addition, we believe in recognizing stellar performance and sponsor a variety of programs designed to reward our skilled, innovative, caring, and committed staff.

In short, at Kaiser Permanente, we understand that there is a direct correlation between happy employees and happy members. We take pride in the compassion and dedication of our employees and find many ways to reward their hard work. In return, our employees take pride in being a part of a collaborative, professional team focused on quality, service, and care.

Honors & Awards

Kaiser Permanente of Northern California has earned an "Excellent" rating from the National Committee for Quality Assurance (NCQA)-the nation's leading reviewer of health plan quality for consumers and employers. Excellent is the top rating granted by NCQA, which reviews satisfaction surveys, preventive measures, physician credentialing, member services and improvement initiatives.*

Both our Northern and Southern California regions were the only health plans in California identified by the NCQA in its list of the best health care programs in the Pacific States. (NCQA's The State of Health Care Quality 2003)

The Joint Commission on Accreditation of Healthcare Organizations accredits all Kaiser Foundation Hospitals in California.

For the seventh straight year, no other health plan has earned higher ratings from the California Cooperative Health Reporting Initiative on more measures than Kaiser Permanente. The annual ratings measure clinical quality and member satisfaction. (CCHRI Report on Quality 2003)

Our Northern California region received more three-star "Excellent" ratings than any other health plan surveyed by California's Office of the Patient Advocate on California's Quality of Care Report Card 2003-04.

* Commercial HMO and Medicare-contracted product lines: April 2003.