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ROI Specialist QA Train/Review - Regional Process Center at Kaiser Permanente

Posted in Other 30+ days ago.

Type: Standard
Location: CLACKAMAS, Oregon

Job Description:
Description: Responsible for identifying key competencies that enable Release of Information (ROI) Specialists to effectively perform their job functions. Ensures the understanding of key concepts and policies/procedures by monitoring work completed by staff. Performs standardized review of staff member-s work to ensure quality standards are met. Conducts needs assessments, developing and implementing training methods/materials as needed. Acts as subject matter expert on ROI law, rules, policies, and regulations.

Essential Functions:
  • Provides training to newly hired ROI Specialists following organizational and departmental guidelines, Health Information Management policies and procedures, state and federal laws and regulations, KPNW regional protocols pertaining to the completion of requests for individually identifiable patient health information.
  • Instructs and trains ROI Specialists in the use of various clinical information systems/software and regional ROI guidelines and federal and state laws.
  • Keeps current regarding all support protocols and desk procedures and provides training using latest information including current laws regarding disclosure of Protected Health Information (PHI).
  • Constructs a viable learning experience through diagnosis of problems, needs analysis, training objectives, and evaluation criteria.
  • Adjusts communication style to assure recipient receives the information clearly, correctly and consistently.
  • Supports training and teaching activities by development of precise, clear and easily understood guides and / or syllabi.
  • Ensures departmental quality standards are followed by reviewing employees- work. Reviews opportunities and strengths with staff and communicates findings to employee, team leaders, and manager, as appropriate.
  • Service recovery as assigned to assist in the resolution of requester concerns.
  • Acts as a liaison between various internal and external customers to ensure continuity of quality standards.
  • Monitors quality through review and critique of classification of release types, compliant authorizations, identification of patient HRN, PHI released, adherence to ROI policies and procedures and disclosures in response to requests for PHI.
  • Communicates opportunities and strengths to employee(s), specialist team leaders, and supervisor/manager as appropriate.
  • Reviews and updates department training materials, policies, procedures, and regulatory guidelines to keep current.
  • Participates in the hiring process.
  • Meets regularly with department director/supervisor to discuss department work unit operations. Attend department meetings as requested. May conduct regular staff meetings.
  • Performs duties of specialist.
  • Performs other duties as assigned.

    Basic Qualifications:
  • Three (3) years Release of Information (ROI) Specialist experience.
  • Two (2) years of experience developing/delivering training (may be on the job experience), or equivalent combination of training experience and education on adult learning techniques, organizational development, and/or presentation skills.
  • Associate-s degree OR a minimum two (2) years of experience in a directly related field.
  • High School Diploma or GED.
    License, Certification, Registration
  • Certification of medical terminology and abbreviations, current within two (2) years or final candidate(s) will need to complete the Kaiser Permanente medical terminology assessment with a minimum competency score of 84% or higher.

    Additional Requirements:
  • Ability to type minimum 40 wpm with above average accuracy.
  • Proficiency in the use of applicable computer software (e.g., MS Word, Excel, PowerPoint, Outlook) and other work related tools (e.g., fax, copier, scanner, multi-line phone system, etc.).
  • Ability to understand and communicate Washington and Oregon laws and regulations that relate to release of information and disclosure of PHI and principles of confidentiality.
  • Strong communication and presentation skills and proven effectiveness with a wide range of personalities, learning styles and skill levels.
  • Ability to develop clear and concise training materials.
  • Excellent organizational and project management skills with a high degree of initiative and flexibility.
  • Willingness to work in a Labor/Management Partnership environment.

    Preferred Qualifications:
  • Experience developing curriculum in a health care or related field.
  • Experience developing and managing complex project plans.
  • Experience in training needs analysis.
  • Bachelor-s degree in instruction design, instruction technology, communication, education or a closely related field.
  • Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
  • Working knowledge of adult learning techniques and concepts.
    Primary Location: Oregon,Clackamas,Regional Process Center 10220 SE Sunnyside Rd. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: Variable Working Hours End: Variable Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: SEIU - Local 49 Job Level: Individual Contributor Job Category: Medical Records Department: Release of Information Travel: Yes, 15 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.