PRMO: , established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke PrimaryCare. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire an experienced CDI Coordinator (Clinical Documentation Improvement) who will embrace our mission of Advancing Health Together.
Work Hours & Shifts Full Time: Day Shift, Monday - Friday.
Highlights: * Career-forward opportunity with a nationally-ranked health system * Quality of Life: Living in the Triangle * Best in class benefit package * Tuition Reimbursement for continuing education
Provides one-on-one and classroom clinical documentation and coding education to Clinical Documentation Integrity (CDI) specialists, medical staff, midlevel providers and others. Remains accessible as a subject matter expert regarding documentation, reimbursement and data interpretation as it relates to inpatient records. Conducts the quality review of inpatient CDI cases, queries, assigned codes and working DRG. Participates in process improvement activities based on audit results and hospital or institute performance improvement projects impacted by documentation.
Educates and mentors new employees through the on-boarding process.
Trains CDI staff on initial CDI process, concept training and on-going education related to new topics in CDI, coding and reimbursement.
Supports Clinical Documentation Improvement Department with instruction relating to new technology and technology updates.
Assists with and provides suggestions for continuing education topics and issues for CDI staff.
Monitors CDI compliance through quality audits and data analysis.
Provides feedback to CDI management team and staff regarding ICD 10 CM/PCS coding, DRG assignment and related clinical documentation issues or concerns.
Analyzes and evaluates clinical and operational systems and processes relative to inpatient reimbursement and quality statistics through chart review and other special study methods.
Recommends data quality improvements and revenue enhancements.
Assists in development and maintenance of Duke CDI policies and guidelines in accordance with AHIMA Practice Briefs, Official Coding Guidelines, ACDIS standards and Coding Clinic.
Educates groups and individuals within and external to CDI regarding documentation, coding, DRG, ICD code assignment, and the reimbursement process.
Interacts with and educates physicians and mid-level providers individually and in groups.
Assists with the analysis of individual CDIS monthly metrics and constructs plans for remediation and development of CDI skill set.
Assists with CDI Specialist responsibilities as workload permits.
Supports CDI program initiatives.
Promotes good morale and cooperation - encourages others, values their input, shares information and seeks ways to add value both to the customer and to the team.
Anticipates and responds to changing skills requirements.
Seeks opportunities to learn new skills and actively coaches and encourages team members to do the same.
Successfully integrates new hires into the CDI process to promote their development and engages in continuous development of all staff to meet changing requirements in health care documentation.
Complies with Duke University Health System and departmental policies and procedures consistently.
Other duties as assigned.
Education : Bachelor's Degree in Nursing, PA (Physician's Assistant) or NP (Nurse Practitioner) or Doctorate degree in a medically related field Required. Master's Degree in Nursing or Healthcare preferred.
5 years of experience is required that must include 3 years acute care experience and 3 years CDI experience.
CCDS/CDIP preferred. / Coding experience or certification is preferred.
3 years of experience in a clinical documentation improvement in and inpatient setting to include in-depth knowledge of (ICD-10-CM) coding principles and DRG assignment.
Knowledge Skills and Abilities : Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. Must be able to understand and comply with policies and procedures.
Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Patient Revenue Management (PRMO)
Internal Number: 10960
About Duke University Health System
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.
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