• Perform daily work queue (WQ) management, ensuring timely and accurate progression of accounts through the coding workflow. Monitor and report daily coding volumes, proactively identifying risks that could impact bill hold deadlines and communicating findings to key stakeholders. • Claim Edit for coding Resolution • Denial Review and resolution • Monitor coding workflow and identify potential bottlenecks. • Oversee coding schedules and distribute workload within the work queues to ensure balanced assignments among team members and bill hold goals are met within each service. • Work with the Revenue Cycle Management Department to resolve billing and patient registration issues, ensuring seamless data flow. • Partner with the Charge Master Team to add new charge codes to the ED preference lists. • Collaborate with Physician Groups to process requests for new provider enrollments in EPIC. • Report and collaborate with client leadership to resolve technical workflow issues, including WQ, EPIC, and 3M. • Report, open and escalate tickets as needed, track outcomes, and communicate resolutions to the coding team. • Review and address email requests from client staff related to: • Coding and charge corrections • Denials and edits • Hold issues and trauma reviews • Ensure resolution is communicated effectively to all stakeholders. • Coordinate access and deactivation requests for client systems as needed. • Follow up to ensure timely access for new users and deactivate access for those no longer requiring it. • Provide and communicate access instructions for new users. • Supervise and delegate coding tasks to a team of medical coders. • Address coding errors and resolve discrepancies, and process rebills when necessary. • Facilitate training for coders on coding workflows and/or updates

• Assign appropriate procedure and diagnoses codes according to the AMA coding guidelines and/or payer specific guidelines, with the highest level of specificity based on the medical record • Works from an assigned coding and/or denial queue, completing or re-assigning encounters as required • Reports coding effectiveness and shortfalls and makes suggestions for process improvement • Analyzes and corrects coding errors and provides feedback related to denied claims and claims rejections • Reviews provider documentation and prepares feedback to the Sr. Coding Manager • QA review of charts coded by vendors and the AI coding tool for coding accuracy and appropriate MIPS quality measure application • Adheres to policies, procedures, and guidelines relative to departmental operations.

• 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