- Entry level
- No Education
- Salary to negotiate
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 PrimaryCare. 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 Duke’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.
The candidate for Manager, Coding Operations - Ambulatory Documentation & Coding is 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. The Manager, Coding Operations will serve as a member of the team, and subscribe to the vision, values and expectations of the Duke University Health System.
Work Location: Duke PRMO, 5213 S. Alston Ave, Durham, NC 27713
Duties and Responsibilities
- Provides leadership to staff to ensure short and long-term goals are met by the Ambulatory Documentation and Coding Initiative team by taking responsibility for continuing departmental education to develop best practices and maintain the highest level of clinical documentation improvement for the organization.
- Manages and facilitates quality documentation and coding practice within the department of Ambulatory Documentation and Coding Initiative. Identifies and implements changes that enhance effectiveness of provider documentation practice. Ensures compliance with regulatory standards. Assures appropriate orientation, education, credentialing, and continuing professional development for personnel. Implements ongoing education plan related to risk adjustment ICD-10-CM, CPT, APC, and other Ambulatory Documentation opportunities ensuring consistent messaging across the system.
- Collaborates effectively throughout the organization by developing collegial relationships and communicating information effectively, encouraging communication, and serving as a resource to staff and other departments.
- Promotes a culture of safety for patients, self, co-workers, and facility in conjunction with the Coding Operations Director and Medical Director/Physician Advisor. Develop systems to monitor and measure the quality, safety, and outcomes including risk adjustment and population health outcomes, and implementing performance improvement measures for identified metrics.
- Maintains privacy, confidentiality, and security for patients and staff. Facilitates resolution of conflicts, collaborates with leadership to promote service recovery, and empowers staff in decision-making through shared governance.
- Assumes responsibility with the Coding Operations Director for the planning, development, implementation, and monitoring of the budgetary process for ambulatory documentation and coding functions. Assures workload is measured and resources are allocated based on industry benchmarks. Facilitates and monitors the appropriate utilization of staff based on credentialing, education, and experience.
- Ensures a biogenic environment which stimulates the ongoing professional development of staff. Develops and fosters relationships that support the continuous enhancement of care delivery, and patient and staff satisfaction through a professional practice environment of mutual respect.
- Implements tasks under compliance in coding educator.
- Ensures qualified staff to meet patient/departmental needs by participating in recruitment and selection of staff. Facilitates and monitors to appropriate utilization of staff based on credentialing, education, and experience.
- Utilizes personal vehicle to routinely travel (local within Duke Health System as required) to assigned ambulatory clinic sites in order to provide availability for inquiries as well as to provide both formal and informal education to physicians, advanced practice providers and other key healthcare providers regarding clinical documentation updates, to review audit analysis, and to present audit/review findings.
Knowledge, Skills and Abilities
- Negotiation and conflict resolution
- Nursing Research and Evidence-based practice
- Performance Improvement
- Practice Innovation
- Resilient and flexible in a changing environment
- Strategic vision and planning
- Technology/informatics skills
- Functions effectively under stressful conditions and difficult situations
- Excellent and effective written and verbal communication skills
- Ability to work effectively with the team
- Ability to travel to various clinics
Bachelor degree required. BSN or MSN degree is strongly preferred.
Bachelor of Health Information Management, Health Informatics, or other Health discipline..
Six years of experience in the healthcare industry is required, two of the six years are supervising or coordinating coding activities. Minimum of two years of experience in clinical documentation improvement required. Preferred: Risk Adjustment Coding Experience.
Degrees, Licensures, Certifications
CPC and CRC are strongly preferred. Current certification in clinical documentation improvement (CCDS-O or CDEO) required or appropriate certification within 2 years of employment. Certification in medical coding and/or risk adjustment (i.e. CRC, CPC, CCS-P or other pertinent to outpatient) strongly preferred. Registered nurse licensed in NC preferred. Valid driver’s license in good standing, with proof of insurance.
Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), or Certified Professional Coder (CPC).
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.
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