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Billings Clinic Release of Information Specialist in Billings, Montana

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more ( about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here ( for more information ordownload the Employee Benefits Guide ( .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here ( to learn more!

Release of Information Specialist

HEALTH INFO MGMT (HIM) - HOSP (Billings Clinic Main Campus)


Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Non-Exempt)

Starting Wage DOE:Starting at $15

The HIM ROI Specialist will be responsible for coordinating centralized requests for release of information for all areas within Billings Clinic where records are maintained (i.e., hospital and clinic records, radiology, lab systems, etc.). Responsibilities include review of all written and verbal requests for release of information to ensure the validity of the request and the authorization to release the requested information comply and adhere with all regulatory requirements and guidelines and Billings Clinic policies and procedures.

Essential Job Functions

• Acts as the centralized review point for receipt of all requests for release of information from both the hospital and clinic medical records. Evaluates authorizations to ensure they meet all eight (8) criteria required by HIPAA and the state of Montana. Evaluates requests that do not require an authorization to ensure Billings Clinic can disclose the information without an authorization through review of HIPAA, Montana law, and Billings Clinic policies.

• Accepts and signs for subpoenas and/or court orders; performs initial review to determine if all criteria (HIPAA and Montana law) are met and confers with Manager, Director or General Counsel for final approval to process.

• Responds to questions of patients and/or staff regarding appropriate disclosures, researches legal and regulatory guidelines in questionable situations, facilitates request and receipt of protected health information (PHI) from other facilities for Billings Clinic.

• Identifies presence and/or location of medical records by reviewing CIS, Medic, AS400 or documentation of other medical record locations (includes branch clinics, inactive records in storage, shadow chart locations, PHI that Billings Clinic maintains previously belonging to other practitioners, and microfilm). Coordinates with and/or forwards request for release of information to the appropriate areas for copying of the appropriate records to provide integrated response to request. Ensures that complete medical record is obtained and copied when such is requested or in response to subpoena or court order.

• Log requests in ROI (Release of Information) software identifying requestor, patient, information requested, date needed, ensuring compliance with regulatory and legal requirements.

• Reviews all copies of health care information prior to disclosure of records to the requestor to ensure:

only the requested materials have been released

authorization matches healthcare information copied

records have been obtained from Radiology, Patient Accounts, and any other site housing PHI that has been authorized to be disclosed

information is delivered to the appropriate individual or requestor based upon the authorization, subpoena or court order

• Acts as a resource and provides support to HIM Specialists and release of information staff by handling customer complaints, resolving issues, identifying request priorities and assigning requests to be processed. Responsible to train HIM Specialists to read authorizations and obtain appropriate information from the medical record.

• Receives copies from various areas and compares each page to the original medical record to ensure complete information requested is provided prior to certifying affidavit or records are delivered for subpoenas or court orders.

• Invoices each request to ensure appropriate charges are made for copies; processes checks received in department by crediting invoice in software; and documenting monies received and forwarding to HIM Administrative Assistant.

• Maintains or exceeds 95% accuracy based on audit findings. Maintains or exceeds 90% department productivity standards for assigned tasks

• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.

• Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

Minimum Qualifications


• High school diploma or equivalent


• Six months of medical records release of information experience in a healthcare setting, preferred

Certifications and Licenses

• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) desirable

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more (

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.