Hybrid position, onsite rotation required. 

General Description of the Job Class 

Independently performs specialized or advanced health information activities necessary to organize, maintain, and use electronic patient health records. Activities required include research, analysis, and compilation of findings to summarize reports that will be shared within and external to the Health Information Management Department. Positions at this level have high customer service, strong analytic and problem-solving skills, and require interpretation and explanation of policy and external requirements related to, privacy, the release of information, positive patient identity, and other department and organization-wide functions. Specific job responsibilities are based on the service unit within the Health Information Management assigned. Expert computer skills in navigating and querying multiple electronic record systems. 

Release of Information: regular interaction is required with patients, attorneys, governmental agencies, providers of health care, insurance companies, auditing agencies, and researchers. Detailed working knowledge and ability to apply HIPAA rules, North Carolina General Statutes, and other State and Federal laws regarding patient privacy. 

Duties and Responsibilities of this Level 

Release of Information Functions: 

Review requests for medical records to identify dates of service, entity, provider, and specific clinical documents requested. Works extensively in the electronic health record and de-centralized electronic databases to locate specific clinical documents to fulfill a request. 

Review patient authorizations to validate HIPAA-required elements and validate the legal authority of the requestor. Reviews NC and State Subpoenas and Court Orders to determine i f valid and returns to requestor if deemed invalid. 

Coordinates visits from Health Plan Reviewers and Research Monitors through the provision of electronic medical records, assignment of passwords, and deactivating passwords after the visit. Assists reviewer in locating specific documents as needed. 

Reviews requests for patient amendments locates disputed documents in the electronic health record and notifies providers of patient requests for amendment. Tracks amendment requests to ensure the patient is notified of the outcome within HIPAA HIPAA-required timeframe. 

Obtains Itemized Statements from PRMO Self Pay and uses them to calculate lien balances generate Attorney Lien letters and forward Itemized Statements to requestor as needed.  

Obtains provider approval to release psychiatric encounter records when requested by the patient and seeks provider approval to release records for minor patients ages 12- 17 to parents to comply with additional privacy protections under NC Statute and Federal Law. 

Accompanies certified copies of original health records to court and location of scheduled depositions when required. Testifies in court and depositions as to the authenticity of health records containing PHI.< /span>