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CDHSCareers
Please note: This recruitment may be used to fill multiple vacancies.
This position is open ONLY to Colorado State Residents
About the Medical Records Department
The Medical Records Department (MR) manages health information for the benefit of the patient and care providers of the Colorado Mental Health Institute at Pueblo (CMHIP). CMHIP is a 516-bed psychiatric hospital with multi-specialty clinics serving the mentally ill and contracted agencies. Medical Records scans documents into the electronic Medical Record (BEHR), monitors BEHR to ensure a complete and accurate medical record, and completes the census report accounting for every patient daily. MR provides required psychiatric and clinic visit codes to identify all diagnoses treated to maintain diagnostic indices and maximize reimbursement from third party payers. Medical records are audited for completion concurrently and upon discharge, coded and abstracted. MR retrieves legacy medical records for use by authorized requestors, protects the confidentiality of protected health information by complying with all applicable state and federal laws, rules, and regulations. Medical Records responds to all requests for records. Provides professional service to customers with a positive attitude and will demonstrate behaviors that enhance working relationships and interactions with customers. Displays behaviors that enhance the performance of the team (consensus building, pitching in when needed); make a contribution to building and maintaining a positive team atmosphere (acknowledging and reinforcing the contributions of others).
About the Position:
This position will be 100% on campus Monday - Friday hours are 8:00am - 5:00pm
This position has primary responsibility for HIPAA risk assessment, investigation and data tracking related to HIPAA. Abstracts data from charts to be reported to the Joint Commission, CMS, and ORYX. This position provides back-up to the MRT III for utilization review. This position supports and provides back-up for all other duties listed below as needed.
File Room:-
Files all records by terminal digit filing system.
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Check charts out to doctors, and other clinicians on an as needed basis.
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Completes the paper Medical Records Out guide and Request card.
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Checks the charts out in the chart tracking database and files the paper Medical Records Out guide and Request card in the tickler file.
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Checks the tickler file daily and calls for charts that are due back in the file room.
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Provides prompt friendly service to internal and external customers in a professional manner in the reception area of the department.
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Treats customers with respect and directs customers to appropriate locations if the customer needs assistance.
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Manages the Medical Records File room by moving records on an ongoing basis to ensure plenty of room to retrieve and file records.
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Pulls death charts and files them on the death shelf.
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Boxes death charts as needed and takes them to storage.
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Heads up and files any and all loose papers that come to Medical Records, in the proper charts, to ensure complete records.
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Must be familiar with BEHR, the electronic Health record, specifically Power Chart; Access HIM, and Revenue Cycle.
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Is responsible for verifying what documents should be scanned and what documents should not be scanned. Is responsible for verifying the identifying information on documents to be scanned.
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Is responsible for scanning information in the correct patient, correct episode, and correct folder. Maintains Standard Operating Procedure document for scanning documents. Scans discharge signature pages, advance directives, outside laboratory and pathology, death certificates, verbal authorization (100C), master treatment plans, and other documents authorized for scanning.
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Retrieves paper charts from storage, if applicable, for readmissions and places them back in the file room.
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Responsibility to answer incoming phone calls.
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Independently releases patient information for continuity of care to requesters per required HIPAA Federal Regulations.
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Pre-release packets (Social Security benefits of all types), Medicaid benefits, etc., are sent to the requestor when processed.
HIPAA-
Understand current HIPAA regulations.
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Work with CDHS HIPAA privacy & Security Officer to assist in modifying policies and procedures to incorporate OCR & CDHS HIPAA regulations.
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Review policies every two years or after any change in HIPAA regulations.
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Complete initial audit of all buildings using the Environment of Care Audit Tool.
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Assess recommendation for HIPAA compliance, if identified.
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Work with CDHS HIPAA Privacy & Security officers for expertise & funding if required.
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Works with Staff Education to assign HIPAA training as needed.
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Contact employee supervisor to require employee follow up for identified HIPAA violations to assure HIPAA training was completed...
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Complete Annual Risk Assessment.
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Review new HIPAA regulations and modify policy/procedure/audit standards in conjunction with HIPAA officers.
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Prepare a monthly HIPAA reminder to CMHHIP campus to improve HIPAA compliance, this should be specific for each Division based on needs and/or breaches.
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Utilize email reminders, staff meetings, and newsletters.
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Report all HIPAA violations and breaches to HIPAA Officer and Division Management.
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Complete HIPAA risk Assessment form.
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Use the Compliance Tracking Report.
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Work with HIPAA Officer and management to mitigate Security and Privacy breaches and/or incidents.
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Report IT security incidents to the help desk. (Examples include: stolen laptops, screensaver not turning on, hacking, spam, and access issues etc.) Once the OIT help desk is notified, by regulation, CDHS has 30 days to mitigate and/or remediate the situation.
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Interview staff related to HIPAA violations
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Determine if PHI was compromised
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Notify clients of any potential privacy or security risks to their data. Document the entire incident, use form.
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Document CDHS good faith effort to comply within 30 days, state the current and future remediating plan so the incident doesn’t repeat itself.
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Participate on the CDHS HIPAA Steering Committee meetings.
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Continue to keep the HIPAA on-line training presentation up-to-date.
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Provide periodic HIPAA training to targeted audiences,
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Monitor the encryption of mobile device usage in your division.
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Facilitate the appropriate use of Business Associate Agreements, MOUs & MOAs in your division.
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Contact the CDHS HIPAA Privacy & Security officer for assistance.
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Other duties to ensure compliance with updated HIPAA regulations.
ROI/Patient Information-
Independently releases patient information to requesters per required HIPAA Federal Regulations. Determines what type of authorization is required per HIPAA Federal Regulations. Allows inspection of the record and provides copies. Releases information to requesters who are authorized by law to receive information with or without patients consent (Medicare, Medicaid, Attorneys, Social Security and Courts). Maintains release of information log, and documents all information released into Release of Information database. Records must be copied and released within 10 days of receiving the records request per CDPHE Regulations.
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Determines what medical record exists by matching the information provided by the requester with the computerized database, microfiche, Microfilm logs, and medical records. Determine costs of copies of copied patient information by counting medical record copies and sending billing statements to requesters. Update release of information log when payments are received and forward payments to the General Accounting Department. Locates and retrieves records from the file room, store room, or chart room and files the record back in the appropriate area after placing authorization.
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Releases confidential information to authorized requesters, by telephone or in person. Forwards patient phone calls or refers requesters to proper individuals if more information is needed. Treats customers with respect and directs customers to appropriate locations if the customer needs assistance. Provides prompt friendly service to internal and external customers in a professional manner. Interacts professionally with people, especially in difficult circumstances. Also, communicates and interacts with peers and colleagues in a positive manner.
Chart Analysis:-
Completes audits using Google sheets audit form for ECT, admissions, concurrent, outpatient, discharges, and deaths for compliance with all hospital policies, procedures and regulatory agency requirements; the results populate in a Google sheet.
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Enters deficiencies in BEHR for Providers.
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Deficiencies found during the chart audit process are placed in the Outstanding Errors spreadsheet.
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Responsible for running the “Saved not Signed” report and notifying staff of documents needing to be signed.
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Responsible for tracking Initial Plans of Care and subsequent Treatment Plan Reviews according to CMS requirements.
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Keep a record of due dates for RN annual assessments, and Social Work and Psychiatric biannual assessments, and send reminders to staff. Deficiencies found during the chart audit process are placed in the Outstanding Errors spreadsheet.
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Send “Saved, not Signed” and Therapeutic documentation deficiencies to each individual monthly.
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Requests death certificates for deceased patients.
Abstracting/ Scanning:-
Abstract data from charts to be reported to the Joint Commission, CMS, and ORYX.
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The Hospital-Based Inpatient Psychiatric Services (HBIPS) core measure initiative is a major national leadership effort to improve quality, safety, and performance of hospital-based inpatient psychiatric services through the collaboration of hospitals, physicians, and consumers. Core measures for hospital- based inpatient psychiatric services (HBIPS) are one of several sets of core measures the hospital tracks and enters into the BEHR Database.
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Assures the accuracy of core measures for admission from the BH intake in BEHR.
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The discharge measures consist of Alcohol abuse, tobacco, immunizations and metabolic screening. Assures the Measures for discharge from the discharge chart consist of Continued Care Plan-Reason for Hospitalization, Discharge Diagnosis, Medications, Next Level of Care Recommendations, if there is an aftercare appointment date, are there scheduled antipsychotics at Discharge, is there a referral for alcohol and drug treatment if they have a diagnosis or prescription for alcohol and drug treatment, is the information transmitted to the Health Care Professional and Metabolic screening form.
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There are approximately 30 discharges per month that need to be entered before Denver files the report. Verifies all the admissions and discharges from the admission and discharge list for the month are entered into BEHR.
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Scan SP1’s, and signature pages. Maintains the Standard Operating Procedure for abstracting and scanning
Utilization Management Authorizations for Third Party Payer Reimbursement:-
This position requests and obtains all authorizations for third party payer insurance reimbursement, based upon medical necessity. Third party payers include, but are not limited to Medicare, Medicaid, Tri-Care, and private insurance carriers. Duties include:
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Request authorizations each day by referring to the daily admissions list, and the third party payer form, and initiate the authorization process.
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Understands which patients are eligible for third party payer reimbursement, and all processes related to obtaining authorizations.
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Maintains a current contact list for each insurance carrier, and all departments/persons involved in utilization review.
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Submits appropriate medical record documentation to third party payers upon request and at established intervals.
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Performs appropriate follow-up for lack of response from the third party payers or others involved in the utilization review process.
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Independently problem-solves issues in the authorization request process, but understands when additional review is required.
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Maintains a tracking tool for authorization requests to minimize incidence of missing information or delay in submission of required documentation, or renewal of authorizations.
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Reports current authorization information or concerns to the Utilization Review Manager, weekly, at a minimum.
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Schedules clinical consultation meetings for provider/clinical team member with the insurance representative as needed.
Other Duties as Assigned:-
Responsibility to perform assigned tasks and duties within the scope of practice for this position that do not fall within the realm of duty statements A-F to meet the vision and mission of the agency and/or the department.
Minimum Qualifications:
Two years (2) of Medical Records Experience in a hospital setting managing the HIPAA process
OR
Education and Experience:
A combination of related education in Information Management or certification in HIPAA , and/or relevant experience in an hospital equal to two (2) years
Preferred Qualifications:
Substantial experience with HIPAA processes
Preferred experience with utilization review, e.g., obtaining prior authorizations
Conditions of Employment:
CDHS Selection Process Explanation
Employment history is calculated on a full-time basis (40/hrs. per week). Part-time employment is calculated on a prorated basis to determine qualifications. Be sure your application specifically addresses your qualifications, experience, work products, and accomplishments as they relate to the position and minimum requirements.
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Minimum Qualification Screening Process
A Human Resources Analyst will review the work experience/job duties sections of the online job application to determine whether your experience meets the minimum qualifications for the position. You must complete the official State of Colorado online application. Cover letters and resumes WILL NOT be reviewed during the minimum qualifications screening process. You must specifically document your work experience and qualifications in the application form. Do not use "see resume" or "see attached."
You must meet the minimum qualifications to continue in the selection process. Part-time work experience will be prorated.
Comparative Analysis Process – Structured Application Review
After minimum qualification screening, the comparative analysis process will involve reviewing and rating of all the information you submit. The comparative analysis step may also include your results from standardized testing.
Your Work Experience/Job Duties
Document your work experience/job duties to the extent to which you possess the skills, education, experience, minimum qualifications, and preferred qualifications.
If listed, answer all supplemental questions as your answers to these questions will be evaluated during this phase. Provide at least 4-8 sentences for each supplemental question.
Supplemental Questions
Answer the supplemental questions completely and thoughtfully. We will rate your answers based on the content of your response and your writing skills (spelling, grammar, and clarity of your writing).
Appeal Rights
You may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State Personnel Board website.
You or your representative must sign and submit the official appeal form for review.
You can find the official appeal form here (Download PDF reader).
You must be deliver the official appeal form to the State Personnel Board:
Postmarked in US Mail to(1525 Sherman Street, 4th Floor, Denver CO 80203, or
Hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or
Faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department’s action.
Contact the State Personnel Board for assistance:
At (303) 866-3300, or
Refer to the Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules webpage.
About Us & Benefits
If your goal is to build a career that makes a difference, join the dedicated people of the Colorado Department of Human Services (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. Each of us is committed to contributing to a safe and accessible CDHS. In addition to a great location and rewarding and meaningful work, we offer:
Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans
Medical and dental health plans
Employer supplemented Health Savings Account
Paid life insurance
Short- and long-term disability coverage
11 paid holidays per year plus vacation and sick leave
State of Colorado Employee BenefitHub Resource Center
Employee Wellness program
Excellent work-life programs, such as flexible schedules, training and more
Remote work arrangements for eligible positions
- Some positions may qualify for the Public Service Loan Forgiveness Program.
Our Values
We believe in a people-first approach: We prioritize the needs, well-being, and dignity of the individuals, families and communities we serve. We commit to respect, fairness and access in every decision, policy and interaction. We engage client voices and experiences in the development and implementation of the services we provide.
Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.
We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.
Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.
We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.
Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.
ADA Accommodations
CDHS is committed to a Colorado for ALL qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment.
This includes completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or performing essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to
[email protected].
EEO Statement
The State of Colorado is an equal opportunity employer
We are committed to increasing a “Colorado for ALL" of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of all backgrounds and abilities. The State of Colorado believes that a “Colorado for ALL” drives our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.
Additional Support For Your Application
Toll Free Applicant Technical Support
If you experience technical difficulty with the NEOGOV system (e.g. uploading or attaching documents to your online application) call NEOGOV technical support at 855-524-5627 Mon-Fri between 6 am and 6 pm (Pacific Time). Helpful hints: if you are having difficulty uploading or attaching documents to your application 1) ensure your documents are PDF or Microsoft Word files and 2) close the document before you attempt to upload (attach) it.
