ROI Medical Abstractor

Company: Mass General Brigham
Location: Somerville
Posted on: June 17, 2022

Job Description:

Under the direction of the Supervisor of Release of Health Information Services Department (TBD), this position is responsible for processing written and electronic requests for medical information to patients or authorized parties in accordance with HIPAA, General Laws of the Commonwealth of Massachusetts (MGL), Department of Public Health (DPH), hospital and department policies and procedures. The Release of Information Medical Abstractor will ensure timely responses to said requests and maintains the confidentiality and integrity of all information. This position provides direct customer point of service and supports the overall release of information process for internal and external customers. Principal Duties and Responsibilities Accurately abstract and or prepare records by screening and analyzing health records for any specifically protected or privileged information that is not covered under a general authorization. When required, obtains proper authorization for records containing treatment of alcohol and drug abuse,42 CFR Part 2, sexual transmitted disease, genetic screening results, licensed social worker, AIDS/HIV, mental health, domestic violence counseling, and sexual assault counseling, as defined by state and federal law, specifically stating the type of information that is being released. Ability to redact information manually and/or electronically when necessary. Understands and enforces hospital confidentiality policies and procedures, ROI department policies and procedures including Massachusetts General Laws (MGL), Federal Public Health Laws, HITECH and HIPAA regulatory guidelines. Acquires and maintains a working knowledge of medical terminology and applicable department processes and applications. Responsibilities include working knowledge of the Health Information Services (HIS) Terminal Digit filing system. Able to effectively utilize PeC, CAS, LMR, MUSE, secure delivery server, fax server, Adobe (searching, redacting and securing security settings), scanning documents, merging files, archiving system, etc. Maintain a working knowledge of faxing workflow application and utilizes functionality to index faxed/scanned images of authorizations and to access assigned authorizations from work queues in order to fulfill requests. Acquires and maintains a thorough working knowledge of Biscom, Faxcom and Biscom Secure Delivery Server to transmit medical record information securely in an electronic format. Utilize PeC work drivers and electronic work queues daily, to sort requests according to date needed. Ability to prioritize "STAT", "Urgent", and "Routine" requests as necessary according to release of information policies and procedures. Complete all processing of STAT requests as a high priority upon receipt in the absence of any extenuating circumstances. Initiates call backs to all telephone communications within 24-48 business hours or immediate callbacks for any STAT/Urgent medical record needed. Requests paper records, as needed, by utilizing the EHR or retrieval from offsite storage facility. Communicates with appropriate staff to coordinate scanning of paper information, as needed, to complete requests. Coordinates release of information requests with other Partners facilities as needed. Generate e-fax action letters to requestors advising of request status or issues pertinent to a particular request according to release of information policies and procedures. Answers incoming phone calls from patients, business associates, clinicians, insurance companies, etc. Clearly articulates and concisely interprets hospital and department policies and procedures, HIPAA, and MGL, to callers and customers of the Release of Information Unit. Utilizes medical terminology and clinical information to make sound judgments and to employ problem-solving skills when processing requests for medical information. Promotes courteous and friendly interactions with patients, physicians, clinical/support staff, attorneys, third parties, and other customers, internal and external. Meets and greets patients and provides immediate point of service for patients and authorized third parties seeking to acquire copies of medical records when necessary. Other duties assigned by the supervisor or manager. Uses the Partners HealthCare values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration Qualifications Qualifications High school diploma or equivalent. Associates degree preferred. Knowledge of medical record and release of information procedures, at a level generally acquired during two years of experience is preferred. Understands the components of a medical record, including how a record is maintained, organized and the retrieval of medical documentation in both paper and/or electronic format. General knowledge of medical terminology. General knowledge of HIPAA privacy and security rules. Knowledge of state and federal rules and regulations related to the disclosure of protected health information (PHI) preferred. Experience working with Epic clinical applications preferred. Skills/Abilities/Competencies Required Self motivated and able to manage time in a busy office environment with interruptions. Critical thinking skills and sound reasoning abilities. Strong customer service and proficient verbal, written and telephone communication skills. Must be courteous and cooperative at all times when interacting with auditors and all levels of departmental and hospital personnel. Must utilize medical terminology and clinical knowledge to support problem-solving issues. Detailed oriented skills required. Basic computer skills. Competent in Adobe, Outlook, Word and Excel tools and other related computer applications. Prioritizes tasks in a dynamic work environment with multiple and conflicting demands; successfully performs different tasks simultaneously. Establishes and maintains cooperative working relationships with co-workers, outsourced vendors and customers. Stands, bends, and/or push/pulls record carts and lift/carry paper medical records. Deliver high quality customer service utilizing proficient verbal, written and telephone communication skills. Present as courteous and cooperative at all times when interacting with peers and all levels of departmental and hospital personnel. Able to meet deadlines. Must have the ability to prioritize tasks in a dynamic work environment with multiple and conflicting demands; successfully performing different tasks simultaneously. EEO Statement Mass General Brigham (formerly Partners HealthCare) is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.

Keywords: Mass General Brigham, Somerville , ROI Medical Abstractor, Healthcare , Somerville, Massachusetts