Job Overview:  Functions as a member of the management team and provides direct supervision to the billing staff. Duties include management, record keeping, coding, patient and insurance billing, telephone duties, scheduling appointments, typing, computer operation, assisting with month end close, copying and miscellaneous business office related functions, and other duties as assigned. The DOO also assists in the planning, development, and direction of Patient Centered Medical Home (PCMH) processes and procedures to ensure ongoing certification and successful performance on quality data metrics for QA/QI, PCMH and UDS performance measures and oversees the development and implementation of Quality Assurance/Quality Improvement programs.  Â.