Job Summary
Under general supervision, governs the privacy, patient confidentiality and regulatory compliance for the organization utilizing the electronic legal medical record and payer platforms complying with state and federal privacy and disclosure regulatory requirements.
The HIM Department discloses protective health and electronic health information (EHI) for the following but not limited : treatment, payment, and healthcare operations;
patients; billing and audit regulatory compliance; law enforcement investigations; subpoena / court order certifications and personal appearance testimonies.
Responsible for Office of Civil Rights compliance ensuring patient's right to access PHI / EHI timely and readily is met and processes PHI restriction requests.
Responsible for indicating Denver County foster patients within the EHR to protect privacy and data flow to the Patient Portal.
Performs Patient Portal education and support to patients for appropriate proxy access. Disclose patient EHI in compliance of The Cures Act for interoperability access protecting the organization from information blocking.
Ensures healthcare exchange data interoperability for population health utilization to improve clinical outcomes and quality patient care.
- Key stakeholder regulatory compliance collaboration with Enterprise Compliance Services on behalf of various regulatory agencies for compliance validation;
- Patient, Safety and Quality for accreditation, quality and complaint surveys; Risk Management for subpoena / court order re : provider and custodian of record testimonials;
Denver County Department of Human Services for Foster Patient management; Denver Health Privacy Officer.
Essential Functions :
Responsible for consistent, accurate PHI disclosure and interoperability exchange of EHI while maintaining confidentiality in accordance with state, federal, HIPAA, The Cures Act requirements and Denver Health & Hospital policies.
Reviews authorizations for patient information ensuring all required elements are complete, regulatory compliant and disclosure appropriate.
Processing timeline not to exceed five business days of receipt, excluding continuity of care. Performs timely communication to requestor if authorization is not valid, and / or unable to process as received. (35%)
Assists patients, external healthcare entities and other requestors with PHI and EHI disclosures ensuring statutory processing timelines are consistently met.
If unable or authorizations are noncompliant, communicates with requestor in accordance with regulatory requirements ensuring compliance with information blocking regulations.
Manages Denver County Foster Patient EHR notification and removal from custody for the organization to protect privacy and maintain continuity of care. (35%)
Performs patient education and support to the EHR Patient Portal. Ensures the PHI integrity disclosed to the patient portal and payer platforms.
Serves as the primary resource with external agencies and Denver Health and Hospital Authority departments for the disclosure of Protected Health Information (PHI) for onsite and external regulatory audit, survey reproduction.
Submits invoice for billable requestors, collecting payments and performs follow-up on outstanding balances. Collaborates positively with DH vendor business partner for transparent workflow to the requestor / patient. (30%)
Education :
High School Diploma or GED required
Work Experience :
1-3 years Medical office experience, healthcare related experience Required
Licenses :
Knowledge, Skills and Abilities :
- Spanish fluency preferred.
- Knowledge of HIPAA regulations.
- Knowledge of Colorado and Federal privacy and disclosure regulations.
- Knowledge of Cures Act for EHI and Interoperability regulations.
- Knowledge of CFR42, Part 2 substance abuse, mental health and HIV.
- Knowledge of Epic, OnBase, Ciox applications.
- Skilled in providing excellent customer service.
- Skilled in analytical thinking, critical problem solving, and process improvement.
- Ability to simultaneously coordinate and manage several functions, applications, and tasks in various stages through completion.
- Ability to work independently and in a team environment.
- Ability to communicate verbally and in writing in a thorough, concise, professional manner.
- Proficient in Microsoft Office (Word, Excel and Outlook), OneDrive.
- This is a hybrid opportunity for residents of Colorado.
Shift
Days (United States of America)
Work Type
Regular
Salary
$22.48 - $30.41 / hr
Benefits
Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.
5%, and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured.
Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit :
Applicants will be considered until the position is filled.