Role Description Responsible for reviewing medical records to facilitate and obtain appropriate provider documentation for clinical conditions and/or procedures to support the appropriate DRG assignment, severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the providers' clinical documentation. The CDS exhibits clinical expertise and clinical documentation improvement practices, as well as knowledge of compliant coding practices, adherence to AHIMA/ACDIS Guidelines for Achieving a Compliant Query Practice. Acts as a liaison between providers, clinical quality, patient financial services, etc. to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record. Educates members of the patient care team regarding documentation guidelines, including attending providers, allied health practitioners, nursing, quality and case management. Essential Functions - Completes initial medical records reviews within 24-48 hours of admission for a specified patient population to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality and severity of illness. - Conducts follow-up reviews every 2-3 days to support working DRG assignment. - Formulates compliant provider queries regarding missing, unclear or conflicting documentation, as necessary. - Follows up daily on open queries with providers to ensure timely responses. - Reviews final coding DRG assignment follows DRG reconciliation process. - Keep abreast of Official Coding and Reporting Guidelines, AHA Coding Clinics, CMS and other agency directives and maintains up to date knowledge of coding and CDI current trends. - Strong oral communication skills and the ability to deliver presentations to large groups. - Actively seeks to promote and helps to maintain a professional, team-oriented, service-conscious environment, which contributes to the goals of the team and reflects the values of the enterprise. - Proactively develops a collaborative relationship with the HIM Coding Professionals. - Collaborates with leadership when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process. - Ability to troubleshoot computer issues in a timely fashion while working remotely. Qualifications - Bachelors Of Nursing and/or Bachelor’s degree in Nursing, or HIM. - CAC experience (Computer Assistant Coding), Preferred. - 2 years’ acute care hospital clinical CDI experience. - 2 years’ experience inpatient coding auditor. - Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech). Requirements - Registered Health Information Technician (RHIT), Required. - Certified Coding Specialist (CCS), Required. - Registered Nurse:XX (RN:XX), Required. - Certified Cardiac Device Specialist (CCDS), Preferred. - Clinical Documentation Improvement Professional (CDIP), Preferred. - Certified Coding Specialist (CCS), Preferred.

• Own all aspects of revenue recognition in compliance with ASC 606 • Serve as the company's primary subject matter expert on ASC 606 and ASC 340-40 • Partner closely with Technical Accounting on complex arrangements • Oversee the Contracts organization responsible for reviewing signed customer agreements • Manage contract amendments, renewals, and modifications • Ensure strong controls and operational efficiency across the full contract-to-revenue lifecycle • Partner with Finance Transformation and Business Systems to improve quote-to-cash processes • Drive continuous improvement across contract processing, billing setup, revenue workflows, and reporting • Partner with Accounting Leadership on revenue integration planning for acquired businesses

• Drive operational excellence across the full revenue lifecycle • Partner closely with the CRO, Finance, Sales, Marketing, Product, and Customer teams • Own planning, forecasting, sales operations, systems, compensation, and executive reporting • Continuously improve efficiency through technology, automation, and AI

• Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, or other PRMO functions within the assigned clinical area. • Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections. • Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for the assigned clinical area. • Review and recommend changes/updates to the department's charge master(s) to maintain fees at levels that maximize reimbursement. • Review and recommend changes to the department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT/HCPCS and ICD-10 updates. • Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement. • Work with financial analysts, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues. • Act as a liaison to management and staff in the designated clinical area, Patient Revenue Management Organization (PRMO); Duke University Health System (DUHS); Duke Health Integrated Practice; and third-party payers on revenue cycle activities for assigned areas. • Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area.