Virtual Finance Operations Jobs in Raleigh, NC (NOW HIRING)

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.
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.
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.
Job Duties
Duties
% of Time

1. Oversee Quality/Focused Audits for all PRMO Coding teams- PB and HB

20%

1. Act as contact and coordinator for organization auditing needs

5%

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

5%

1. 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

20%

1. Assist with policy and procedure maintenance for coding and auditing functions

5%

1. Read and interpret LCD, NCD and other payer regulations and guidelines as related to coverage of services

10%

1. Interviewing, hiring, training employees, planning, assigning, and directing workflows, employee performance evaluation, proactively manage production and quality controls, resolving problems.

10%

1. Collaborate with other managers to ensure consistent implementation of coding policies, procedures and practice; maintain strong communications with director and peer managers

20%

1. Any/All other duties assigned by director

5%
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.
Education Requirements / Preferences
BS Health Information Management, Health Informatics, Health Administration, Finance or related field.Master's degree in Business Administration or Health Administration is preferred
Experience Requirements / Preferences
Six years of experience in the healthcare industry is required, two of the six years are supervising or coordinating coding activities.
Licensure / Certification Requirements
Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is a bonus.
Financial Responsibilities
XDevelop budget recommendations
XPrepare budget requests and written narratives
XReview expenses against budget
Supervisory
Responsibilities
Duties
% of Time

1. Compliance Specialist

6
Working Conditions
Mark all that apply
X
Must be able to work under time pressures in a busy virtual office environment
Must be present on site for 8 hour shifts during standard business hours
X
Must participate in group activities requiring interpersonal skills and cooperation
X
Must work as later person when scheduled or according to business need
X
Must be able to react quickly and immediately respond to emergencies
Must travel between locations on a needed basis
X
Must be able to handle multiple assignments, conflicting demands and priorities
X
Must maintain attention to detail over extended period of time
X
Must be continually aware of variations in changing situations
Must be able to move throughout office environment throughout the day
Must be able to lift XX lbs.
Must be able to push/pull XX lbs.
Must be able to carry XX lbs.
Must be able to reach for objects by extending arms
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.