Title: ROI Specialist

Location: Midtown

Org Unit: The Office of Compliance

Work Days:

Weekly Hours: 35.00

Exemption Status: Exempt

Salary Range: $77,700.00 - $87,600.00

*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

Position Summary

Responsible for fulfilling patient Individual Rights Requests for medical records pursuant to WCM’s HIPAA Notice of Privacy Practices (NPP), including right of access, amendment, restriction, and accounting of disclosures, as well as investigating complaints for alleged violations of the NPP as well as being responsible for monitoring Release of Information (ROI) workflows, vendor support, KPI tracking, and ensuring compliance with regulatory requirement and institutional policies.

Job Responsibilities

Reviews & assists with the management of Individual Rights Requests (IRR), including access requests, amendments, restrictions, accounting of disclosures, and potential information blocking concerns, ensuring compliance with federal and state requirements.
Reviews and manages Care Everywhere and Health Information Exchange inquiries, ensuring appropriate access and disclosures.
Monitors the ROI functions, including workflows, backlogs and other metrics relating to activities performed by the Medical Records team and by the ROI vendor. Reports those monitoring efforts to the OOC leadership.
Serves as the primary go-to person for the medical records team, responding to staff inquiries for policy and procedures and ensuring that the staff is following protocol.
Processes medical records requests from patients, physicians, insurance companies, and third parties (e.g., law firms, etc.), ensures requests are fulfilled accurately, securely, and within required timeframes. Tracks and logs record requests.
Responds to inquiries from patients, physicians, and insurance companies regarding medical records matters, ensuring clear, compliant, and customer-focused communication.
Under direction of Office of Compliance leadership team, prepares and sends out correspondence, including medical record amendment determinations, accounting of disclosures, breach notification letters and internal communications.
Monitors incident tracking systems (e.g., RadarFirst, ServiceNow, DLP alerts).
Assists with enterprise-wide investigations, including release of information, privacy including non-HIPAA matters (e.g., FERPA, DGPR.NYS privacy laws, and other applicable regulations), and supports related policy development and training initiatives.

Education

Bachelor's Degree in related field preferred

Experience

Approximately 3 years of prior related work experience, including experience in healthcare privacy, HIPAA compliance, or medical records/ROI operations preferred.
Experience with incident management systems and EMR (Epic) preferred.

Knowledge, Skills and Abilities

Detail oriented with strong organizational and time management skill with the ability to prioritize and manage the completion of multiple tasks/projects in a high-volume, regulatory-driven environment.
Strong computer skills (Microsoft Office including Word, Excel, and PowerPoint) and Adobe Acrobat.
Strong analytical and writing skills, with the ability to document investigations clearly.
Knowledge of HIPAA Privacy Rule, patient rights, breach notification requirements, and information blocking regulations.
Strong interpersonal and communication skills with the ability to work collaboratively within and across departments.

Licenses and Certifications

CHPC, CHC, or other relevant certification preferred (or willingness to obtain within 1–2 years)

Working Conditions/Physical Demands

Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.” No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.

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