Role Description - Support the Deputy Head of Clinical Administration in the development and delivery of training sessions and feedback to clinical coders, clinicians, and managers to improve the quality of clinical coded data. - Support the Clinical Coding team with answering coding queries from all areas of the Trust as and when required. - Take responsibility for maintaining and continuously developing in-depth analysis of clinically coded data. - Work closely with the Clinical Coding team to ensure that the Trust maximises its quality of coded data while conforming to clinical coding rules and conventions. - Feedback and participate in clinical audits or validation work as required by the clinical team to ensure high-quality documentation. - Participate in audits with the Clinical Coding Auditor to ensure that the Trust always has high-quality clinically coded data available for analysis and income generation. - Respond positively to clinical coding queries from outside the department, ensuring that the information supplied is both accurate and suitable for its intended purpose. - Provide mentor/coaching support to the Clinical Coding trainees to aid development and knowledge. Qualifications - A good level of education, Minimum GCSE or equivalent C and above in English, Maths, and Science. - Attendance and completion of Clinical Coding Standards Course from an approved centre. - Completion of appropriate clinical coding courses, including up to date with refresher training. - Degree level qualification in healthcare related degree (Desirable). Requirements - Experience in the use of personal computers or aptitude to learn new packages. - Previous employment in an acute NHS Trust. - Experience analysing and appropriately coding complex clinical information across a wide range of clinical specialities (Desirable). - Good knowledge of anatomy and physiology/medical terminology. - Comprehensive knowledge/understanding of health records and hospital procedures. - Completion of clinical coding e-Learning modules (Desirable). - High degree of interpersonal/organisational skills with the ability to build upon them. - Accurate keyboard/IT skills. - The ability to interpret written and oral information accurately. - Ability to work on own initiative and as part of a team. - Demonstrates ability to challenge and question by reasonable argument. Commitment to Trust Values and Behaviours - Must be able to demonstrate behaviours consistent with the Trust's values. - Applicants applying for job roles with managerial responsibility will be required to demonstrate evidence of promoting equal opportunities through work experience. - Understanding of the Trust's Values and associated Behaviours is essential. - Examples from work experience and/or personal life demonstrating these values through behaviour are expected in the application. Benefits - The Trust is committed to Equal Opportunities within the workplace. - All vacancies will be considered for Job Share unless otherwise stated. - All applicants who have a disability and who meet the minimum criteria for the job will be interviewed. - Disabled applicants will automatically be guaranteed an interview and will be exempt from the random selection process.

Role Description The Trauma Registrar is responsible for the collection and abstraction of data base elements following the criteria of inclusion for state and/or national trauma databases. The Trauma Registrar, reporting directly to the Trauma Program Manager, supports the organizational requirements for by the State of Ohio and the standards set forth by the American College of Surgeons for maintaining a trauma registry database. Assigns diagnosis and procedure codes for the purpose of research and compliance with state and federal regulations. - The Trauma Registrar identifies cases for inclusion into the registry data base. - Data abstracted will be from various sources including, but not limited to: - Electronic medical record - Prehospital databases - Autopsy reports - Other data sources, either electronic or not that will substantiate the injured patient - The Trauma Registrar will assign ICD-10 CM diagnosis codes and ICD-PCS procedure codes according to the established and published Official Coding Guidelines. - The Trauma Registrar will assign and verify AIS codes required for severity of illness and probability of survival as established through AAAM manual for AIS coding. - Daily chart review and data entry into the Trauma Registry on established patients who meet criteria will be performed. - The Trauma Registrar ensures adherence to data management protocols set forth to ensure accurate and timely reporting of data to the organization and regulatory agencies. - The Trauma Registrar assists with performance improvement activities. Qualifications - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Certified Professional Coder (CPC) - Certified Coding Specialist (CCS) - Other equivalent education and experience - Must complete and pass AIS Coding by AAAM within 12 months of hire (Required) - Must complete and pass ICD-10 Trauma specific coding course within 12 months of hire (Required) - Ongoing data validation scores at the level of 90% accuracy following 12 months of employment and fulfillment of onboarding training requirements (All levels registrars must maintain - Required) Requirements - Completion of ICD-10 coding courses (Required) - Completion of college-level Anatomy/Physiology courses (Required) - Completion of college-level Medical Terminology courses (Required) - Associate’s degree in any field that includes two semesters of medical terminology and Anatomy/Physiology, or in medical records coding from an accredited program (Preferred) - Minimum of one (1) year experience working directly with medical records and computer - One (1) – Two (2) year work experience in registry data abstraction/coding Training - Current knowledge of ICD-10-CM and ICD-10-PCS coding principals - Proficiency with MS Office software including email, MS-Word, and MS-Excel - Expert skills with word processing, spreadsheets, and databases Skills - Abstracting experience using current requirements by state and national regulatory bodies - Experience with medical terminology and acronyms related to diagnosis, procedures, complications and comorbid conditions - Experience with accurate and timely data entry and verification to maintain high standards of data quality control - Performing daily chart reviews on specific patients - Assigns ICD-10 and other specialized codes and enters data into the registry - Interprets medical information - Attention to detail - Critical thinking - Conflict resolution - Active listening - Relationship building - Ability to function independently and as part of a team and thrive in a fast-paced environment - Ability to work additional hours if the work warrants it Benefits - Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) - Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts - Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders - Tuition assistance, professional development and continuing education support - Benefits may vary based on the market and employment status

Role Description The Medical Records Coder II is a certified coder responsible for coordinating and reviewing the work of subordinate employees and assisting with training and continuing education programs. The role involves coding medical records utilizing ICD-10-CM and CPT-4 coding conventions, ensuring specificity of diagnoses, procedures, and appropriate reimbursement for hospital and/or professional charges. - Review complex medical records and accurately code primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. - Coordinate and review the work of designated employees. - Ensure quality and quantity of work through regular audits. - Assist with research, development, and presentation of continuing education programs. - Consult with and educate physicians on coding practices and conventions. - Communicate with nursing and ancillary services for needed documentation. - Maintain understanding of anatomy, physiology, medical terminology, and surgical techniques. - Assist with special projects as required. - Perform other related duties incidental to the work described. Qualifications - High school diploma required. - Must hold one of the following active/current certifications: - Registered Health Information Administrator (RHIA) - Registered Health Information Technician (RHIT) - Certified Coding Specialist (CCS) - Certified Professional Coder (CPC) - Homecare Coding Specialist-Diagnosis (HCS-D) Requirements - 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. Benefits - Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months—6-month increments. Company Description 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.

• Responsible for the collection of relevant, pertinent, accurate and timely professional fee diagnosis and/or procedural codes • Work in close collaboration with compliance, clinical departments, physicians and SCH Revenue Cycle team members • Perform other duties as assigned and may be responsible for working account problems in EPIC