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. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the 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 for Duke Health. Work schedule: 8:30 am-5 pm Occ Summary 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 analytic 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 functions. 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 required with patients, attorneys, and 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 are 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, JointCommission requirements, and CMS guidelines and rules. Work Performed 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 the legal authority of the requestor. Reviews NC and out-of-state subpoenas and court orders to determine if valid and returns to the requestor if deemed invalid. Coordinates visits from Health Plan Reviewers and Research Monitors through provision of electronic medical records, assignment of passwords, and deactivation of passwords at the conclusion of the visit.
