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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.

Performs specialized or advanced health information activities necessary to organize, maintain, and use electronic patient health records. Positions at this level demonstrate a strong, independent work ethic; exceptional customer service; outstanding analytic and problem-solving skills; and the ability to make decisions based upon standard operating procedures. Requires the ability to interpret and explain policy and internal requirements related to health record documentation, policies and procedures. Specific job responsibilities are based on the service unit within Health Information Management assigned and include the following:

Performs HIPAA-compliant screening of incoming requests for protected health information of our patients, distribution of medical records, deficiency management, duplicate pair resolution, deceased flag management, management of calls for medical record numbers, deficiency management to assure compliance with federal and state regulatory and accrediting body requirements for health record content and timely completion and document management to include the capture of health records in an electronic format. Expert computer skills to navigate and query multiple electronic systems are required to complete complex tasks.

Document Management Functions: Maintains the integrity of the Clinical Data Repository (CDR) with comprehensive Subject Matter Expert knowledge of applications, workflow and integration within Hyland OnBase, Solarity and Maestro Care related to scanned document archival to troubleshoot end-users concern. Provides training and education resources to customers, as needed. Monitors, investigates and takes appropriate action to resolvecomplex errors and interface errors preventing document upload to the electronic health record within multiple systems. Performs audits, analyzes data, prepares reports and communicates findings to leadership.

Failed Faxes: Communicates effectively and timely with the sender and intended recipient to resolve transmission issues preventing successful transmission of information. Monitors the electronic fax transmission failures and resolves to ensure timely release of outbound faxed information. Monitors, investigates and takes appropriate action to resolve failed fax errors preventing documents from transmitting and resends information. Prepare and report daily metrics for fax transmission and failure. Demonstrates an intermediate level skill withMicrosoft Office (Word, Outlook, and Excel). Monitors, submits and responds to service desk tickets related to failed fax transmissions. Coordinates updates to Maestro Care Provisioning-SER-DHTS Team to ensure accurate fax information within the Maestro Care database to prevent future errors.

Release of Information Functions: Complete the final review of authorization or requests for records and process simple requests for continuity of care, disability and insurance. Activities required include research and compilation of findings into summarized reports that will be shared with external clinical providers (authorization not required), the Office of Social Security Disability (authorization required), and insurance requests (authorization required). Patient Identity Management Functions: Duplicate medical record number merges Analyze & review patient overlays and update basic demographic information. Escalates complex issues requiring correction, such as MRN unmerging, contact moves and documentation corrections.

Good organizational skills, excellent investigative/analytic skills with detail orientation, and strong follow-through capabilities. Excellent verbal and written communication skills in order to effectively problem solve, develop working relationships and assist system users. Must be able to meet deadlines, work independently, set priorities and maintain confidentiality. Ability to work calmly and efficiently in high-pressure situations. Intermediate knowledge of human anatomy and physiology and medical terminology is highly recommended. Intermediate to expert skills using Windows-based software, familiarity with information technology hardware and software in a local and wide area network environment.

Good organizational skills, excellent investigative/analytic skills with detail orientation, and strong follow-through capabilities. Excellent verbal and written communication skills in order to effectively problem solve, develop working relationships and assist system users. Must be able to meet deadlines, work independently, set priorities and maintain confidentiality. Ability to work calmly and efficiently in high-pressure situations. Intermediateknowledge of human anatomy and physiology and medical terminology highly recommended. Intermediate to expert skills using Windows-based software, familiarity with information technology hardware and software in a local and wide area network environment.

High school or GED diploma required

4 years of experience in health information management, document management, or healthcare-related fields required. An associate's/bachelor's degree in healthcare, business, IT, or related fields can substitute for 2 years' experience. Associate's Degree in HIT preferred

N/A

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.

Employment Type: FULL_TIME

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