HIM TECHNICIAN II

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.

Occ Summary

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: 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.

Work Performed

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' concerns. Provides training and education resources to customers, as needed. Monitors, investigates, and takes appropriate action to resolve complex 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 sending the individual 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 the document from transmitting and resending information. Prepare and report daily metrics for fax transmission and failure. Demonstrates an intermediate-level skill with Microsoft Office (Word, Outlook, Excel). Monitors, submits, and responds to Service Desk Tickets related to failed fax transmissions. Coordinates updates to Maestro Care ProvisioningSERDHTS 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 (auth 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 unmerge and contact moves and documentation corrections.

Knowledge, Skills and Abilities

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 and familiarity with information technology hardware and software in a local and wide area network environment.

Minimum Qualifications

Education

High school or GED diploma required

Experience

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