SPECIALIST, HIM – PATIENT IDENTITY

Durham, North Carolina, PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance. General Description of the Job Class: I ndependently performs specialized or advanced healthinformation activiti esnecessary to organize, maintain, and use electronicpatient health reco rds.   Activitiesrequired include research, analysis and comp ilation of findings into summarizedreports that will be shared within an dexternal to the Health InformationManagement Department.   Positions at thislevel have high customer service, strong analytic andp roblem solving skills,require interpretation and explanation of policy a ndexternal requirementsrelated to, privacy, release of information, posi tive patient identity, andother department and organization-wide functio ns. Specific job responsibilitiesare based on the service unit within He alth Information Management assigned.     Expert computer skills to navigate and query multiple electronic record systems . Patien tIdentityManagement:   regular interactionsrequired with pat ients, attorneys, insurance companies, providers of healthcareand govern mental agencies.

  Detailed workingknowledge of and abilityt oapply State and Federal laws regarding positivepatient identification,i dentity theft, vital records regulations, JointCommission requirements,a nd CMS guidelines and rules. Duties and Job Responsibilities: T rack, monitor and validate patient overlays that occurduring patientregi stration and scheduling activities. Analyze and trend datafor feedbackto appropriate department.   Notifies compliance andaffected departments o f incorrect documentation location.   25% Rese arches through comparison of demographic andclinical information andreso lves patient identification problems referred byexternal departmentsor p atients for fraudulent identity use, such as identitytheft.   15% Performs concurrent and retrospective c ontactmoves.   Analyzes thecontent of healthrecorddocument, coordinates with responsible providers, clinicians, andancillary departm ent participating in the patient’s care for record correctionrequirement s to resolution through Chart Correction Workspace.   15% Leadsclinical, ancillary and financial staff to assist in resolving overlayissuesofm ultiple patient information in one medical record to resolve overlay wit hin 24 hours of discovery of overlay.   15% Participates in 24-hour on- call rotation.   15%   Maintains enterprise master patient i ndexintegrity medical record number merges, un-merges and medicalrecord numberassignments electronically.

  Performs na me anddemographic changes with supporting documentation.   5% Works with management to compile and review reports ofduplicate numbe rs, overlays, contact moves errors and identifies patternsrelatedto user and type of error.   5% Performs other duties as assigned  5%   Minimum Qualifications Education High School Diploma required Associate’s degree in a Health Information Management or related field preferred Experience Four years of experience in Health Care related field required, two of which must be in Health Information Management Or Candidates with an Associate’s degree in HIM require two years of Health Care experience and one year of HIM specific experience or Candidates with a Bachelor’s degree in HIM require two years of Health Care experience or Candidates with a Bachelor’s degree in Health Care require two years of HIM specific experience Degrees, Licensures, Certifications preferred: RHIT/RHIA/CHPS/CHDA   Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual’s age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.   Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.  

Source ⇲