• Perform insurance eligibility and benefits verification for patients • Conduct AR follow-up on unpaid, denied, or delayed claims • Review claim statuses and communicate with insurance companies regarding billing discrepancies • Assist with claims follow-up, denial management, payment posting, and documentation support • Coordinate with payers to resolve outstanding balances and reimbursement issues • Support revenue cycle management processes to ensure timely payments and accurate billing • Manage patient scheduling, appointment coordination, and calendar updates • Handle email management, data entry, document organization, and general administrative tasks • Assist with patient communications and front office operations • Maintain accurate and organized patient and billing records • Collaborate with internal teams to address operational or billing-related concerns • Support additional administrative tasks as needed • Assist with provider credentialing and re-credentialing applications as needed

Title: Medical Records Coder II Location: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. Job Description: 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. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. - Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments. Occ Summary The Medical Records Coder II is a certified coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to ensure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures. Work Performed Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development and presentation of continuing education programs in areas of specialization. Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. 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. Maintain a thorough understanding of medical record practices, standards, regulations, the Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Knowledge,Skills and Abilities Advanced ICD-10-CM & CPT-4 coding conventions Anatomy and Physiology Medical Terminology Extensive DRG/APC reimbursement knowledge Coding software familiarity Effective written and verbal communication skills Data entry/CRT Level Characteristics N/A Minimum Qualifications Education High school diploma required. 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 Degrees, 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) Homecare Coding Job Code: 00004097 MEDICAL RECORDS CODER II Job Level: E2 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

Title: Senior Professional Coder (Anesthesia) Location: Remote, United States Department: Revenue Cycle US-Remote ID 2026-8386 Remote Yes Category Revenue Cycle Position Type Regular Full-Time Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview Are you a seasoned professional fee (profee) surgical and/or anesthesia coder with 7 or more years of experience? Do you excel at navigating the complexities of surgical and anesthesia documentation, applying precise coding guidelines, and researching the nuances required to accurately assign complex CPT®, ICD‑10‑CM, and HCPCS codes? If you thrive on investigative work, enjoy deep‑dive code validation, and take pride in delivering accurate, high‑quality coding that supports both compliance and optimal reimbursement— then this role may be the perfect fit for you! The Senior Professional Coder performs at an advanced level medical coding position and serves as an expert utilizing ICD-10 and CPT4 classification system coding to all diagnoses, treatments and procedures in all types of Hospital, Clinic and Ambulatory Surgical Center (ASC) locations at stated minimum performance levels. In addition, the Senior Professional Coder provides coding insight and guidance to clinical staff, Clinical Documentation Improvement (CDI), Professional Coder 1 and Professional Coder II positions as well as Revenue Cycle leadership. Responsibilities Responsibilities: - Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely - Reconcile correct coding edits and discrepancies prior to final coding - Maintain coding quality of 95% or higher while meeting established productivity requirements based on encounter type - Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations - Identify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providers - Acts as a key liaison for the physicians and clinical staff as it relates to coding and compliance - Interacts with physicians and other professional staff of documentation issues relating to coding data - Acts as a mentor to Coder I and Coder 2 staff - Provides system and workflow training to newly employed coders - Prepares and presents education in conjunction with the Revenue Integrity Professional Coding Educator - Primary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questions - Act as back up for Revenue Integrity Professional Coding Lead This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Minimum: - 7 years of professional fee (profee) surgical and anesthesia coding experience - Experience with Surgery Coding guidelines, E/M Coding Guidelines, CPT Coding, ICD-10, Modifiers, HCPCS and CCI edits - Pediatric, orthopedic and/or injury coding experience - Experience with education and presentations - Functional knowledge of Medical Terminology - Functional knowledge of professional coding practice standards - Functional knowledge of MS Office - High School Diploma or GED - Current CCS-P (AHIMA) or CPC (AAPC) Options

Title: Remote Inpatient Coder - HIM Location: Owosso United States Job Description: Clerical Full Time, Days, 8am, flexible Hours/Pay Period: 80 Req # 12001 JOB SUMMARY The Health Information Management (HIM) Coder impacts Memorial’s Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment. Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations. The coding information is used to determine APC’s (Ambulatory Payment Classification) for data quantitative analysis, quality research and claim submission. It is necessary that the candidate abides by the Standards of Ethical Coding as set forth by AHIMA and strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. PRIMARY JOB RESPONSIBILITIES: - Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. - Codes accounts in work lists appropriately based on priority. - Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes. - Meet and sustain productivity metrics established by the Manager while maintaining high accuracy rate. - Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment. - Investigates and tracks unbilled accounts to determine reason for incomplete status and works with appropriate resources for completion. - Queries physicians and other healthcare providers when there is conflicting, incomplete, or ambiguous information in the health record. Comply with industry standards “Guidelines for Achieving a Compliant Query Practice” when composing queries. - Accountable for Claim Edits review and respond to NCCI, OCE, LCD & NCD edits. - Abides by and stays current with Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting, American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, and American Health Information Management Association (AHIMA) Standards of Ethical Coding. - Maintains appropriate, and demonstrates adequate use of, multiple software applications, including 3-M, Meditech (Expanse), scanning software, etc. - Completes assigned tasks in appropriate timeframe and adjusts to increased workload. - Problem solves and brings concerns to Manager for resolution when appropriate. - Actively contributes to the morale and teamwork of the staff and facility and always presenting a positive attitude and patient-minded vision, with patient satisfaction as the continuing goal. - Follows established procedures for specific coding modalities, examples – concurrent and retrospective coding. - Assists with training/orientation of new employees and students. - Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. - Efficient and productive in a remote work environment. - Other duties as assigned. JOB SPECIFICATIONS EDUCATION - Associate’s degree in Health Information Technology is required. - Minimum of successful completion of a registered coding program with AHIMA approval status, RHIA or RHIT or CCS is required. EXPERIENCE - Three years of Acute Care Hospital coding experience is required. - Knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG group assignments, anatomy, physiology and pathophysiology. - Competency in the use of computer applications.