HIM Specialist; North Carolina

Overview

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.

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 externally topreview 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.

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 оплачиваемых 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 requester. 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 the provision of electronic medical records, assignment of passwords, and deactivation of 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 amendment.

Tracks amendment request to ensure patient is notified of outcome within the HIPAA required timeframe. Obtains itemized statements from PRMO Self Pay and uses them to calculate lien balances and generate an attorney lien letter, and 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 their parents to comply with additional privacy protections under NC Statute and Federal Law.

Accompanies certified copies or original health records to the court and 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 activities. Analyze and trend data for feedback to the appropriate department. Notifies compliance and affected departments of incorrect documentation location. Coordinates Chart Correction Cases within Maestro Care including evaluation of help desk requests, assignment of correction tasks and verification completion and closure of the case and verifies completion and closure of the case.

Maintains an accurate Enterprise Master Patient Index (EMPI) through active research and comparison of potential duplicates and clinical history to resolve patient identification discrepancies, including necessary investigation of potential identity theft. Performs name and demographic changes with supporting documentation. Performs concurrent and retrospective contact moves. Analyzes the content of thelectric health record document, coordinates with responsible providers, clinicians, and ancillary departments participating in the…