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medical records tech

4 months ago

Omaha, Nebraska, United States Veterans Health Administration Full time
The duties in this position are primarily advisory and technical in nature. Incumbent is responsible for evaluating the adequacy of each completed authorization form.

Screens each request for information to determine urgency and assures that most urgent requests are completed first using established priority systems.

Personally greets veterans/visitors and assists them in determining the exact nature of the request and whether the information requested can be released.


Applies 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).


The incumbent processes 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.

Evaluates validity of each request.

Determines 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).

Ensures that proper authorization exists before release is made. Processes the request to the requesting agency or individual. Inputs all requests into the ROI computer package for logging and tracking of these requests.

Receives and directs callers and visitors. Receives and/or gives out forms and assists visitors and/or callers with the completion of forms or documents. Responds to questions from patients concerning services. Provides advisory and technical assistance to patients, administrative staff and professional staff regarding release of information.

Inquiries vary widely and information given requires explanation of office functions, describing specific requirements, providing basic instructions, or a similar degree of detail.

Searches records or files to compose responses, including electronic searches to retrieve and summarize hard-to-locate data. Locates materials that would verify information given.

Reviews 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.

Employee composes responses to routine requests for release of patient information. Selects and compiles information from health records and prepares correspondence, typically using standard form or standard formats for letters.

Ensures the information released is limited to what is specifically authorized and to the person or agency designated to receive it.


Composes 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.

Determines extent and tone of replies independently.

Resolves 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.

Replies 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.

Finds alternative sources of information on which to base a reply when correspondent has provided sketchy or inaccurate information.
Processes Social Security requests for health information using ROI software. Downloads VistA Imaging documents and ROI software documents onto a secure Network Drive.


Completes and processes 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 enters all requests into the ROI software with necessary information for each request for health information.

Completes necessary transactions for deposit of money collected from subpoena, legal fees, and processing fees for release of information to individuals and insurance companies.


Work Schedule:
Monday-Friday 7:30am-4:00pm

Telework:
Available.

Virtual:
This is not a virtual position.

Relocation/Recruitment Incentives:
Not Authorized

Permanent Change of Station (PCS): Not Authorized

Financial Disclosure Report:
Not required.