Manager, Coding Operations -Remote (Monday-Friday)

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.

General Job Description

Responsible for the oversight of all functions within the Coding Operation departments, including but not limited to providing support at the division level for daily departmental operations, reimbursement opportunities, and various programs. Serve as a member of the team; subscribe to the vision, values, and expectations of the Duke University Health System.

This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas.

Job Duties

Duties

• Oversee Quality Audits and Education for all PRMO Coding teams- PB and HB

• Act as contact and coordinator for organization auditing needs

• Identify areas for improvement and recommending solutions where education is needed for accurate coding and billing for both Hospital and Professional areas.

• Support Coder Education initiatives to include; Creation and delivery of education, new coder education, transition coder education, EHR education, etc.

• 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

• 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

• 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

Knowledge, Skills And Abilities

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.

Level Characteristics

Leadership s kills/competencies such as building effective teams,customer focused, co mmunicates effectively, collaborates, courage,decision quality, develops talent, drives engagement, ensuresaccountability, instills trust, emoti onal intelligence, and operationaleffectiveness.Maintains knowledge of a pplicable coding documentation and billingregulations related to Medicar e, Medicaid, and commercial insurance.

Minimum Qualifications

Education

BS Health Information Management, Health Informatics, Health Administration, Finance or related field. Master's degree in Business Administration or Health Administration is preferred

Experience

Six years of experience in the healthcare industry is required; two of the six years are supervising or coordinating coding activities.

Degrees, Licenses, and Certifications

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is a bonus.

Supervisory Responsibilities

Duties

• Compliance Specialist

Director: Lindsay Jennings

Director Title: Director of Hospital Coding

Org Unit: Hospital Coding

Cost Center: 241130013

Name of Person Handling Requisition: Lindsay Jennings

Interview Structure

• Hospital Coding Manager Interview
• Compliance Specialist Team Interview
• Peer Manager Interview (PB Operations)

Distinguishing Characteristics Of this Level

Leadership skills/competencies such as

• Building effective teams
• Customer focused
• Communicates effectively
• Collaborates with others
• Courage
• Decision quality
• Develops talent
• Drives engagement
• Ensures accountability
• Instills trust
• Emotional Intelligence
• Operational effectiveness

Maintains knowledge of applicable coding documentation and billing regulations related to Medicare, Medicaid and commercial insurances.

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.