Him Specialist

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At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health's Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.

Independently performs specialized or advanced health information activities necessary to organize, maintain, and use electronic patient health records. Activities required include research, analysis, and compilation of findings into summarized reports that will be shared within and external to the Health Information Management Department. Positions at this level have high customer service and strong analytical and problem-solving skills, and require interpretation and explanation of policy and external requirements related to privacy, release of information, positive patient identity, and other department and organization-wide issues.

Specific job responsibilities are based on the service unit within Health Information Management assigned. Expert computer skills to navigate and query multiple electronic record systems. Release of Information:
Regular interaction is required with patients, attorneys, governmental agencies, providers of health care, insurance companies, auditing agencies, and researchers. Detailed working knowledge and ability to apply HIPAA rules, North Carolina General Statutes, and other state and federal laws regarding patient privacy. Patient Identity Management: regular interactions required with patients, attorneys, insurance companies, providers of healthcare, and governmental agencies. Detailed working knowledge and ability to apply State and Federal laws regarding positive patient identification, identity theft, vital records regulations, Joint Commission requirements, and CMS guidelines and rules.

Release of Information Functions:
Review request for medical records to identify dates of service, entity, provider, and specific clinical documents requested. Works extensively in the electronic health record and decentralized electronic databases to locate specific clinical documents for the purpose of fulfilling a request. Reviews patient authorizations to validate HIPAA-required elements and validate legal authority of the requester. Reviews NC and out-of-state subpoenas and court orders to determine if valid and returns the requester or if deemed invalid.

Coordinates visits from Health Plan Reviewers and Research Monitors through the provision of electronic medical records, and assignment of passwords and deactivates passwords at the conclusion of the visit.

Assists the reviewer in locating specific documents as needed. Reviews requests for patient amendments, locates disputed documents in the electronic health record and notifies the provider of the patient's request for an amendment. Tracks amendment request to ensure patient is notified of outcome within HIPAA-required timeframe. Obtains itemized statements from PRMO Self Pay and uses them to calculate lien balances and generate attorney lien letters, and it forwards itemized statements to the requestor as needed.

Obtains provider approval to release psychiatric encounter records when requested by the patient and seeks provider approval to release records for minor patients ages 12-17 to parents to comply with additional privacy protections under NC Statute and Federal Law.

Accompanies certified copies or original health records to court and the location of scheduled depositions when required. Testifies in court and depositions as to the authenticity of health records containing PHI. Patient Identity Management Functions:
Track, monitor, and validate patient overlays that occur during patient registration and scheduling…