CHARGE CODE AUDITOR Duke UniversityCHARGE CODE AUDITORDurham, NCThe Charge Code Auditor for the Birthing Center is responsible for ensuring accurate, complete, and timely charge capture for all hospital obstetric services, including OB Emergency Department (OB ED) visits, OB Operating Room procedures, vaginal and cesarean deliveries, newborn hearing screens, and circumcisions. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Paramedic I - Code Team - Duke Life Flight - Durham NC Duke UniversityParamedic I - Code Team - Duke Life Flight - Durham NCDurham, NCThe Duke Life Flight Code Team Paramedic will perform a variety of activities within their scope of practice to include the delivery of high quality emergency care as a rapid response team tending to ill or injured persons of all ages in designated areas of the DUH campus. The Paramedic performs a variety of activities across various practices settings and patient populations in accordance with the Paramedic scope of practice as defined by the North Carolina Medical Board and with the approval of the practice setting Medical Director.
*Office Manager* Urgently hiring ACROSS THE LIFESPAN LLC*Office Manager* Urgently hiringRoxboro, NCThe Office Manager at Across the Life Span, PLLC serves as the operational backbone of the practice, ensuring efficient day-to-day administrative functions, seamless billing and coding workflows, and a welcoming, compliant clinical environment. The ideal candidate brings expertise in medical billing, coding, and office systems management, and is committed to supporting a team dedicated to transforming lives.
MEDICAL RECORDS CODER II Duke UniversityMEDICAL RECORDS CODER IIDurham, NCRemoteMust hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding. RHIA certification-no experience required RHIT certification-no experience required CCS certification-one year of coding experience required CPC or HCS-D certification-two years of coding experience required.
MEDICAL RECORDS CODER II-Commitment Bonus Duke UniversityMEDICAL RECORDS CODER II-Commitment BonusDurham, NCRemoteDegrees, Licensures, Certifications: Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA), Hospital Coding Registered Health Information Technician (RHIT), Hospital Coding Certified Coding Specialist (CCS), Hospital Coding Certified Professional Coder (CPC), Homecare Coding Specialist-Diagnosis (HCS-D). Experience: RHIA certification-no experience required; RHIT certification-no experience required; CCS certification-one year of coding experience required; CPC or HCS-D certification-two years of coding experience required.
MEDICAL RECORDS CODER II (Outpatient) Duke UniversityMEDICAL RECORDS CODER II (Outpatient)Durham, NCRemoteMust hold one of the following active/current certifications: Registered Health Information Administrator (RHIA), Hospital Coding Registered Health Information Technician (RHIT), Hospital Coding Certified Coding Specialist (CCS), Hospital Coding Certified Professional Coder (CPC), Homecare Coding, or Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington.
Facility Revenue Manager, Ambulatory Surgery Centers - Remote, M-F Duke UniversityFacility Revenue Manager, Ambulatory Surgery Centers - Remote, M-FDurham, NCRemoteCharge capture methodology validation/updates - specific tasks dependent on charge capture method employed: update charging preference lists; work with Maestro Care application owner to update flowsheets; create/update orderable; confirm linked chargeable; work with PRMO coding Staff to ensure awareness of new services/charge codes; Develop creative solutions. Actions to be taken to achieve resolution include: Assemble cross-functional team within PRMO (if applicable), Develop Revenue cycle-related project plan, maintain comprehensive issues lists with time lines and responsibilities clearly assigned, escalate issues through PRMO Senior Operational Leaders that require significant cross-departmental resources.
Patient Account Associate- Duke Homecare and Hospice Duke UniversityPatient Account Associate- Duke Homecare and HospiceDurham, NCInitiates appropriately timed correspondence and telephone contact to clarify and explain account or coverage situation with patients or guarantors, employers, insurance companies, and sponsoring agencies; obtains cooperation toward settlement of account. This position must be able to work independently to process complex patient medical claims by therapy and payer specifications to assure accurate and timely claim submission and follow up through final payment and cash posting.
Director, PRMO Clinical Documentation Integrity Duke UniversityDirector, PRMO Clinical Documentation IntegrityDurham, NCReporting directly to the AVP, Revenue Cycle and HIM, this role provides leadership for inpatient CDI initiatives that support documentation integrity, coding accuracy, quality outcomes, severity/risk capture, reimbursement optimization, regulatory compliance and clinical validation. The Director of Clinical Documentation Improvement (CDI) is responsible for the strategic direction, operational oversight, and performance management of all Clinical Documentation Integrity functions within the Mid-Revenue Cycle division of the Patient Revenue Management Organization (PRMO).
Pharmacy Revenue Management - Reimbursement Specialist Duke UniversityPharmacy Revenue Management - Reimbursement SpecialistDurham, NCThe largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. They will review and analyze pharmacy charges, collaborating with Duke Health Technology Solutions, Patient Revenue Management Organization, and Finance to ensure compliance with billing regulations while maximizing revenue capture.
MEDICAL CODER SPECIALIST Duke UniversityMEDICAL CODER SPECIALISTDurham, NCResponsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural areas, including capture of applicable Physician Quality Reporting System (PQRS) and reconciliation of all surgical cases performed at each hospital where applicable. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
COMPLIANCE SPECIALIST-Inpatient Duke UniversityCOMPLIANCE SPECIALIST-InpatientDurham, NCRemoteAll Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. Educate providers regarding compliance with government regulations with special attention to Center for Medicare and Medicaid guidelines as they pertain to academic medical centers, HIPAA, and fraud and abuse with periodic updates.
NewUtilization Manager Duke UniversityUtilization ManagerDurham, NCWorks collaboratively with physicians, staff and service line leadership on quality and performance improvement activities related to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management and other clinical cost reduction Utilization Manager Medical Chart Auditor Completes retrospective medical necessity reviews for compliance with regulatory or payor-specific guidelines for all short-stay Medicare inpatients and outpatients (DUH), all observation encounters, all combined/segmental billing encounter questions, and any encounter sent to the UM MCA from PRMO for patient status/post-bill medical necessity denials/coding questions. With 388 beds it is the second largest of Duke Healths four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, womens services, and heart and vascular services.