MANAGER, CODING OPERATIONS

Duke Careers • Durham, NC

6d • Hybrid

About The Position

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 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.

Requirements

• Extensive knowledge of ICD-10-CM, PCS and CPT coding principal and guidelines.
• Extensive knowledge of hospital/technical and professional services reimbursement systems (DRGs, APCs, RBRVUs).
• Extensive knowledge of Federal, State and payer specific regulations and policies pertaining to documentation, coding, billing for technical and professional services,
• strong managerial leadership, and interpersonal skills.
• Excellent written and oral communication skills,
• excellent analytical skills.
• Six years of experience in the healthcare industry is required, two of the six years are supervising or coordinating coding activities.
• Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).

Nice To Haves

• Master’s degree in Business Administration or Health Administration is preferred
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is a bonus.

Responsibilities

• Oversee Quality/Focused Audits for all PRMO Coding teams- PB and HB
• Act as contact and coordinator for organization auditing needs
• Identify areas for improvement and recommend solutions where education is needed for accurate coding and billing for both Hospital and Professional areas.
• Provide direction for department; Ensure TAT are met, QC of auditor QA, Ensure departmental integration, develop operational policies, procedures, standards and expectations, provide clear opportunities to meet or exceed objectives
• Assist with policy and procedure maintenance for coding and auditing functions
• Read and interpret LCD, NCD and other payer regulations and guidelines as related to coverage of services
• Interviewing, hiring, training employees, planning, assigning, and directing workflows, employee performance evaluation, proactively manage production and quality controls, resolving problems.
• Collaborate with other managers to ensure consistent implementation of coding policies, procedures and practice; maintain strong communications with director and peer managers
• Any/All other duties assigned by director

What This Job Offers

• Job Type: Full-time
• Career Level: Manager