MANAGER, CODING OPERATIONS

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.

 

About Duke Health's Patient Revenue Management Organization

 

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's 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.

MANAGER ROLE AND responsibility Manager of Coding Operations—Revenue Operations and Coding Provide leadership and direction to the Department of Ophthalmology, OBGYN, and Emergency Department business lines, including overall responsibility for financial performance in professional abstract coding, trending and processing of coding edits and denials, financial reporting and education to staff and providers. Financial Management: 40% • Serve as a specialty-specific business owner of defined ProfessionalCodi ng businesslines to include all areas of financial performance; • Achieve PRMO Balanced Scorecard objectives related to revenue management and coding. • Maintain strong communication with Director(s) and business partners in reporting unbilled activities related to coding Develop and monitor staff performance standards for productivity and quality• Develop and maintain staffing models to determine FTEs needed to handle workload volumes and accomplish financial performance targets. • Develop and maintain weekly and monthly KPI reports to summarize staff and outsourcing vendor performance and inventory management aging trends. • Guide direct reps in identifying deficiencies in staff and A/Rmanagement performance and take action to address outstanding issues. • Review and approve write-off requests per PRMO policies. Provide feedback to direct reports if write-off requests do not comply with policy requirements.

 

• Work with vendor agencies to optimize AR performance in support of departmental goals; • Collaborate with other revenue cycle departments to support all appropriate patient billing, including customer service for patients; • Identify strategic and creative solutions to improve revenue performance; • Track and research operational and system issues identified and work with other PRMO divisions to develop/implement solutions for performance improvement. • Develop and maintain effective working relationships and periodic meetings/communications with fellow managers across the PRMO (registration, ion, billing and collections, finance, IT, and customer service) and within the relevant customer groups to include departmental/specialty-specific revenue managers and business managers to facilitate communication of results and address outstanding issues/concerns. Administrative / Staff management: 30% • Oversee team efforts in posting, recruiting, and hiring new qualified employees promptly. Approve all new hires and transfers, including sign-off on all compensation decisions. • Ensure that appropriate orientation and relevant job-specific training are provided to all new and existing employees. • Ensure that the 90-day probation period, mid-year, and year-end performance evaluations are provided to staff promptly. Review and approve all expectations and expectations evaluations before finalization. • Provide appropriate orientation and relevant job-specific training to new and existing direct reports. • Meet one-on-one with each direct report at least biweekly for two-way status updates on performance and associated feedback.

 

• Review and sign off on PTO utilization by direct reports.• Review and sign off on all disciplinary actions taken for employees on teams under your management. • Ensure that all direct reports and associated staff comply with all certification and education needs. • Oversee the development and delivery of job-specific training programs for all staff. • Identify and implement programs to develop managers/supervisors and associated staff for career development.• Attend team meetings regularly to maintain rapport/contact with staff and be available for questions/issues. • Maintain an open do or policy to all relevant staff to address employee concerns.• Identify opportunities for improvement of staff morale and develop/implement programs to address those opportunities.

 

• Monitor specific elements in an annual budget for assigned functions/teams, including OT, education, travel, and contract/vendor labor. • Review actual vs. budgeted expenses every month and provide explanations of variances to the director, along with an action plan for addressing any signi