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 Dukeâ€™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
Performs specialized health information activities necessary to organize, maintain, and use electronic patient health records. Positions at this level have high customer service, strong analytic and problem solving skills, require interpretation and explanation of policy and internal requirements related to health record documentation and completion, Medical Staff Bylaws, Rules and Regulations and organization-wide functions and policies and procedures. Specific job responsibilities are based on the service unit within Health Information Management assigned and include: Performs HIPAA compliant screening of incoming requests for protected health information of our patients, distribution of medical records, 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. Excellent computer skills are required to complete basic to intermediate tasks within Maestro Care, Solarity, Hyland OnBase and other related applications.
Duties and Responsibilities of this Level
Release of Information Functions:
Performs preliminary screening of authorization (pursuant to State and Federal Privacy Laws), enters requests for information into Maestro Care Release of Information Module, and returns to requestor with explanation if invalid.
Manage tasks associated with the HIM ROI Customer Service office to include greeting visitors, providing guidance for requesting medical records, completing the authorization for disclosure, verifying patient/personal representative authority/identify and facilitates same day customer service by coordination with ROI team.
Serves as front line support through receipt of telephone calls from third party requestors and patients asking for the status of medical record requests. Assists requestors in understanding the requirements for submission of a HIPAA compliant authorization, provides explanation for canceled requests and responds to general inquiries about obtaining medical records, navigation of MyChart and basic Care Everywhere inquiries. Requires a high level of communication and customer service skills to appropriately assess and respond to customers while de-escalating issues when necessary.
Responsible for verifying accuracy of patient selection on each page/image of records prepared for disclosure and packages requested records for delivery through paper print, CD or electronic submission.
Performs other duties as assigned
** Position requires onsite presence 65% of time. Rotation to be established by Team Lead. **
Required Qualifications at this Level
High school or GED diploma required
2 years of experience in Health Information Management, (Release of Information, Document Management, Patient Identity, Record Integrity), Coding, or Healthcare Related Field required
Associate's Degree in Healthcare, Business, IT, or Related Field can substitute for 1 year experience
Bachelor's Degree in Healthcare, Business, IT, or Related Field can substitute for 2 years' experience Associate's Degree in HIT preferred
Associates Degree in HIT preferred
Knowledge, Skills, and Abilities:
Good organizational skills, excellent investigative and analytical skills with a 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 multi-task and work with a high degree of accuracy and recall. Ability to train and interact with physicians. Ability to work calmly and efficiently in high-pressure situations. Intermediate knowledge of human anatomy and physiology and medical terminology highly recommended. Intermediate skills using Windows-based software, familiarity with information technology hardware and software in a local and wide area network environment
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.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.