HIM TECHNICIAN I
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 PrimaryCare. 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 Cla ss
Performs specialized health informationactivities necess ary to organize, maintain, and use electronic patient healthrecords. Pos itions at this level have high customer service, strong analyticand prob lem solving skills, require interpretation and explanation of policyand internal requirements related to health record documentation andcompleti on, Medical Staff Bylaws, Rules and Regulations and organization-widefun ctions and policies and procedures. Specific job responsibilities are ba sedon the service unit within Health Information Management assigned and include:Performs HIPAA compliant screening of incoming requests for pro tected healthinformation of our patients, distribution of medical record s, deficiencymanagement to assure compliance with federal and state regu latory andaccrediting body requirements for health record content and ti mely completionand document management to include the capture of healthrecords in anelectronic format. Excellent computer skills are required t o complete basic tointermediate tasks within Maestro Care, Solarity, Hyl and OnBase and otherrelated applications.
Duties and Resp onsibilities of this Level
De ficiency ManagementFunctions:
Analyzes electronic medical records to ensure compliancewith regulatory requirements, Medical Staff Bylaws, and hospital policy. Identifies and assigns the deficiency to t heappropriate provider to complete the missing documentation (30%)
Monitors the status of incomplete medical records, generatesphys ician reminder notices, prepares and submits a list of delinquent provid ersto Medical Staff and Administrative Leaders (20%)
Monito rs work queues and performs problem resolution whereneeded. (20%)
Assists providers in completing deficiencies by clarifyingthe de ficiency or explaining the record completion process within Maestro Care(15%)
Maintenance of deficiency department/division databas e. (5%)
Initiates provider suspension (10 %)
Knowledge, Skills, and Abilities:< /span>
Good organizational skills, excellent investigative/analytic skills with detail orientation, and strong foll ow through capabilities. Excellent verbal and written communication ski lls in order to effectively problem solve, develop working relationshipsand assist system users. Must be able to meet deadlines, work independ ently, set priorities and maintain confidentiality. Ability to multi-ta sk and work with a high degree of accuracy and recall. Ability to train and interact with physicians. Ability to work calmly and efficiently i n high pressure situations. Intermediate knowledge of human anatomy and physiology and medical terminology highly recommended. Intermediate sk ills using Windows-based software, familiarity with information technol ogy hardware and software in a local and wide area network environment.
High school or GED diploma required
2 years of experience in Health Information Management, Document Management, or Healthcare Related Field required Associates / Bachelors Degree in Healthcare, Business, IT, or Related Field can substitute for 2 years' experience Associates Degree in HIT preferred
Degrees, Licensures, Certifications
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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.