Confidentiality, Privacy and Security

Student Questions

  • 1.  Student Questions

    Posted 09-23-2019 16:10
    Hello! I am a current HIM student and am interested in learning more about job opportunities in the release of information department and what kind of jobs are available? Release of information is very interesting to me and I am curious if anyone here has that job and if so what does your day look like?
    Thank you in advance!!

    Cara Palumbieri, HIM Student

  • 2.  RE: Student Questions

    Posted 09-24-2019 21:49

    Greetings, Cara!

    I worked for 2 years in an ROI office at a hospital, also covering some clinics. We also were the call center for any medical record-esque calls that came in. So, on first and half of second shifts, was hectic trying to do stat requests, and keep up with patient requests and phone calls (especially the 3rd party ones...). I generally worked third, and was usually a bit calmer, though ran into my share of 'What?' moments as I would get random calls, issues, etc that would pop up and I was the one to deal with them.

    Now I'm working a front desk at much less hectic, so I answer phone, the walk in's, the faxes that come in. then after office closes I work on going through and verifying that what was scanned is in the ehr, in the right chart, and labelled correctly for around 5hrs a day now.

    I don't know what it's like on the receiving end of ROI, but I can certainly try to answer questions if you have more.

    Cody Todd , RHIT

  • 3.  RE: Student Questions

    Posted 09-25-2019 11:23

    i would like to talk more with you in regards of scanning and the processing of making sure everything scanned into the EHR is correct

    please email me at
    or email me at

    Thank you Melinda Mayfield RHIT

    Melinda Mayfield

  • 4.  RE: Student Questions

    Posted 09-25-2019 10:05
    Hi Cara! I used to work in ROI for about 3 years in a large health system, another year of processing ROIs as a manager of a youth psychiatric facility, and I did my senior research paper on ROI process improvement before graduation. Even though I no longer work in that area, ROI is near and dear to my heart!!

    I would say that Cody's description is very accurate for ROI day-to-day, especially in a health system or large hospital. There are a lot of phone calls, walk-ins, and sometimes very odd requests/demands that keep you on your toes. My time working at the psych facility involved processing a lot of legal requests (usually requiring a signed and notarized affidavit), social security disability requests, and state case workers. The volume of requests received at the health system was often in the tens of thousands per month, so we had an entire team dedicated to ROI, with each of us assigned to one or two specific request types.

    One of the keys to ROI is that you must be aware of what constitutes the complete medical record, the minimum necessary information requested. Sometimes it's not simple to find the necessary records; depending on how long the facility has been around, their policies on record retention, and how compliant staff members were with those policies in the past, sometimes records may be misfiled, lost, unreadable, never filed, never signed, etc. That can create a real headache. But generally speaking, 90% of the time the process is pretty straightforward and repetitive.

    Angelique Jefferson, RHIA
    Epic Training Specialist

  • 5.  RE: Student Questions

    Posted 09-25-2019 16:51

    Also another aspect of ROI, is outside of the nurses and coders, you will see quite a bit of the record. It is a clinical view (ie: not as emotional), though it can be impactful. However, unlike those nurse's we dont see nearly as much of the happy side of things (like at discharge, etc). We have to read a lot of the record to make sure what we are sending fits the authorization and not containing sensitive information not authorized. 

    Generally that isn't a huge issue, and most (85-90% especially of clinical requests) are fairly repetitive like Angelique said. But there are some records that aren't easy to read, too. I do greatly enjoy my job working on it, as its the same, but a little different each time.

    Cody Todd , RHIT