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Medical Records Technician
3 months ago
Duties include but are not limited to:
Responsible for evaluating the adequacy of each completed authorization form.
Screen each request for information to determine urgency and assure that most urgent requests are completed first using established priority systems.
Personally greet veterans/visitors and assist them in determining the exact nature of the request and whether the information requested can be released.
Apply public laws, rules, regulations and exclusions governing confidentiality of the medical record, including the Privacy Act, Freedom of Information Act and 38 U.S.C.
7332 governing the release of records containing information regarding the treatment of or referral for drug and/or alcohol abuse, Sickle Cell Anemia and infection with Human Immunodeficiency Virus (HIV).
Process all incoming requests to the facility for Release of Information (ROI) along with information required by the VA Regional Office through the Automated Medical Information Exchange (AMIE), referring only problem cases to the Supervisor.
Evaluate validity of each request.Determine which information is to be released in compliance with existing laws (Privacy Act of 1974, Freedom of Information Act, and Health Insurance Portability and Accountability Act).
Ensure that proper authorization exists before release is made. Process the request to the requesting agency or individual. Input all requests into the ROI computer package for logging and tracking of these requests.Receive and direct callers and visitors. Receive and/or give out forms and assist visitors and/or callers with the completion of forms or documents. Respond to questions from patients concerning services. Provide advisory and technical assistance to patients, administrative staff and professional staff regarding release of information.
Search records or files to compose responses, including electronic searches to retrieve and summarize hard-to-locate data. Locate materials that would verify information given.
Review paper and computerized health records (i.e., scanned notes, reports, special tests, etc.) to identify material to be photocopied/printed/written to electronic media and released.
Compos responses to routine requests for release of patient information. Select and compile information from health records and prepare correspondence, typically using standard form or standard formats for letters.Ensure the information released is limited to what is specifically authorized and to the person or agency designated to receive it.
Compose detailed explanations in response to correspondence received, arranging information into logical sequence and appropriate format and choosing appropriate words and expressions to convey the desired tone.
Determine extent and tone of replies independently.Resolve conflicting or inconsistent information found on initial requests.
This involves dealing with patients and/or third parties to resolve discrepancies, sorting out errors and reconstructing past transactions, cases or events, or finding alternative sources of information.
Reply to vague, incomplete, or ambiguous inquires by independently recognizing issues, topics or problems.Inquiries are usually presented by patients or third parties who are not sure what information they are looking for or do not know how to identify it by title.
Find alternative sources of information on which to base a reply when correspondent has provided sketchy or inaccurate information.Process Social Security requests for health information using ROI software. Download VistA Imaging documents and ROI software documents onto a secure Network Drive. Access the secured Social Security Web page and upload the documents to the Web portal.
Transfer the confirmation codes to the ROI software package and close the requests in both the ROI and Social Security packages.
Complete and process routine releases of information to other VA and Federal Agencies and when requested, to patients and their families, insurance representatives, physicians, hospitals, and city and state health agencies according to VA directives.
Processing must be accomplished within established time standards. Accurately enter all requests into the ROI software with necessary information for each request for health information.Complete necessary transactions for deposit of money collected from subpoenas, legal fees, and processing fees for release of information to individuals and insurance companies.
Work Schedule:Monday - Friday 8:00am - 4:30pm
Telework
:
Available, Ad-Hoc
Virtual:
This is not a virtual position.
Functional Statement #
: 000000
Relocation/Recruitment Incentives
:
Not Authorized
Permanent Change of Station (PCS):
Not Authorized