St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The HIM Specialist provides coverage and support for all ROI functions as needed.
JOB DUTIES AND RESPONSIBILITIES:
Responsible for and coordinates the entire release of information process among the inpatient and outpatient records.
Acts as liaison between the HIM Department and risk manager when dealing with attorney requests; court orders; subpoenas; litigation and/or other potential risk areas.
Responsible for coordinating all subpoenas in the hospital among the medical records department, laboratory/pathology and radiology departments.
Coordinates work with the outside service utilized for all billable requests. Logs requests upon receipt for processing.
Responsible for maintaining and keeping current the computerized correspondence tracking system. Ensures that all requests are logged in the system.
Responsible for adhering to HIPAA regulations regarding release of information.
Responsible for adhering to the regulations for the release of information as it relates to HIV/AIDS; psychiatric patients; drug and alcohol patients.
Responsible for ascertaining the validity of authorizations received in the department. Returns invalid authorizations.
Responsible for coordinating all Network activities associated with RAC requests, appeals, etc.
Processes all requests for patient information from Medicare/Medicaid regarding the RAC’s in accordance with established hospital and department policies and procedures, HIPAA and State Laws regarding release of information.
Maintains computerized release of information RAC system that logs all activities in the release of RAC information.
Assist in all areas as ROI and cover all areas when needed.
Develop ROI workflow and validate new computer systems.
Work with IT to assist with acquired facilities legacy EMR.
Assists with the development and maintenance of policies and procedures.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for up to 7 hours per day, 3 hours at a time. May require occasional standing/walking for up to 1 hour per day, 30 minutes at a time. Frequently uses fingers for data entry. Frequent use of hands and fingers as it relates to holding patient records. Uses upper extremities to life and/or carry up to 10 pounds. Hearing as it relates to normal hearing. Seeing as it relates to general vision, near vision, peripheral vision and visual monotony. May require stooping, bending and/or reaching above shoulder level.
EDUCATION:
High school graduate / GED required with medical terminology and release of information experience. Work experience in a medical record or office environment with appropriate knowledge base highly considered. Registered Health Information Technician (RHIT) preferred.
TRAINING AND EXPERIENCE:
Minimum of 2 years in the field.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE)
Founded in 1872, St. Luke’s University Health Network (http://www.slhn.org/) (SLUHN) is a fully integrated, regional, non-profit network of more than 18,000 employees providing services at 14 campuses and 300+ outpatient sites. With annual net revenue of $2.7 billion, the Network’s service area includes 11 counties: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. Dedicated to advancing medical education, St. Luke’s is the preeminent teaching hospital in central-eastern Pennsylvania. In partnership with Temple University, St. Luke’s established the Lehigh Valley’s first and only regional medical school campus. It also operates the nation’s longest continuously operating School of Nursing, established in 1884, and 38 fully accredited graduate medical educational programs with 347 residents and fellows. St. Luke’s is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. St. Luke’s is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. U.S. News & World Report ranked St. Luke’s #1 in the Lehigh Valley and #6 in the state. Three of IBM Watson Health’s 100 Top Hospitals are St. Luke’s hospitals. St. Luke’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from IBM Watson Health nine times total and seven years in a row, including in 2021 when it was identified as THE #1 TEACHING HOSPITAL IN THE COUNTRY. In 2021, IBM Watson Health also named St. Luke’s among the 15 Top Health Systems nationally. Utilizing the Epic electronic medical record (EMR) system for both inpatient and outpatient services, the Network is a multi-year recipient of the Most Wired award recognizing the breadth of the SLUHN’s information technology applications such as telehealth, online scheduling and online pricing information. St. Luke’s is also recognized as one of the state’s lowest cost providers..
Learn More Here. (http://www.slhn.org/About)