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Yale University

Research university in New Haven, CT

Health Information Management Representative

Full-Time
$31.83/hr
Senior
Bachelor's, Associate's
New Haven, CT, USA
In Person
Medical, Clinical & VeterinaryClinical Support & Patient Administration

About the job

Requirements
  • Advanced knowledge of HIPAA, state privacy regulations, and Release of Information practices, including the ability to interpret and apply regulations and organizational policies to complex health information scenarios.
  • Strong understanding of Release of Information processes, medical record access requirements, and confidentiality standards.
  • Ability to independently analyze complex situations, interpret regulations, and exercise sound judgment.
  • Ability to work independently while contributing effectively within a collaborative team environment.
  • Strong organizational skills, ability to prioritize competing demands and manage time-sensitive requests, attention to detail, and commitment to accuracy in managing confidential health information.
  • Written, verbal, and interpersonal communication skills, and ability to establish effective working relationships with patients, providers, staff, attorneys, insurance organizations, and external partners.
  • Proficiency with electronic medical record systems and health information technology applications.
  • Proficiency with Microsoft Office applications, including Word and Excel.
  • Six years of related work experience, including four years in the same job family at the next lower level, and high school-level education; or four years of related work experience and an Associate's degree; or little or no work experience and a Bachelor's degree in a related field; or an equivalent combination of experience and education.
  • Healthcare workers must meet health requirements before starting work, including MMR and varicella vaccination or immunity, tuberculosis screening, COVID vaccination according to University policy, hepatitis B vaccination or immunity, and annual flu vaccination.
  • Candidates are subject to pre-employment background screening, which may include motor vehicle, DOT certification, drug testing, and credit checks based on the position description and job requirements.
Responsibilities
  • Independently manage and resolve complex health information requests, including requests involving legal documentation, deceased patients, sensitive or restricted records, subpoenas, insurance matters, and other protected health information requiring advanced review, interpretation, and judgment.
  • Review, validate, and process authorizations, subpoenas, legal documentation, and requests for medical information to ensure compliance with HIPAA, applicable federal and state regulations, and Yale Health policies and procedures.
  • Analyze medical record content and determine the appropriate documentation responsive to requests while ensuring privacy protections, minimum necessary standards, and appropriate disclosure of protected health information.
  • Locate, retrieve, compile, organize, and prepare medical records from multiple electronic health record systems and clinical documentation sources.
  • Collaborate with internal departments, providers, patients, attorneys, insurance organizations, and external healthcare entities to resolve complex medical record requests and facilitate timely and accurate responses.
  • Maintain accurate documentation, tracking, and reporting related to health information requests, disclosures, incoming documentation, and health information management workflows.
  • Perform advanced document imaging, scanning, indexing, and quality review activities to ensure accurate placement, indexing, accessibility, and integrity of patient health information within the electronic health record.
  • Identify, investigate, and resolve record integrity issues, including misfiled documentation, duplicate records, indexing errors, and documentation discrepancies, escalating issues when appropriate.
  • Support medical record retention, digitization, and information governance activities in accordance with regulatory requirements, retention standards, and organizational policies.
  • Conduct quality assurance reviews of HIM workflows, including document scanning, indexing, release of information, and record maintenance processes, to promote accuracy, regulatory compliance, and patient safety.
  • Identify opportunities for process improvement and provide input into the development, revision, and implementation of HIM procedures, workflows, and operational standards.
  • Participate in departmental audits, compliance activities, regulatory readiness initiatives, and other quality and risk activities.
  • Provide technical guidance to staff, patients, providers, administrative departments, and external organizations regarding health information workflows, documentation requirements, record access, and release processes.
  • Support quality assurance, process improvement, staff training, and HIM workflow implementation, and provide backup coverage for the Lead HIM Representative as assigned.
  • Work full-time, 37.5 hours per week, weekdays from 8:30 a.m. to 5:00 p.m.; evenings, weekends, holidays, and recess periods may also be required.
Desired Qualifications
  • Experience working in an academic medical center, ambulatory healthcare organization, or integrated healthcare delivery system.
  • Experience with Release of Information operations, document imaging, medical record auditing, or privacy-related healthcare functions.
  • Experience with Epic electronic health record applications.

About the company

Yale University is a private research university in New Haven, Connecticut. It provides undergraduate, graduate, and professional education alongside research, scholarship, and public engagement.

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