Manager, Coding Operations – Coding Integrity

Duke Careers

Manager overseeing Coding Operations in the healthcare sector, ensuring compliance and operational efficiency. Requires extensive coding knowledge and experience in health information management.

Posted 7/30/2026full-timeDurham • North Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in overseeing quality audits and coding processes within the healthcare industry, ensuring compliance with payer regulations and effective departmental integration. Proficient in developing operational policies and training staff to enhance coding accuracy and efficiency.

Highest-signal resume keywords

Quality Audits ManagementHealthcare Coding SupervisionPolicy DevelopmentRegulatory ComplianceStaff Training and Evaluation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding StandardsAuditing ProceduresHealth Information ManagementData AnalysisOperational Policy Development

Soft Skills

CollaborationLeadershipCommunicationProblem-SolvingPerformance Evaluation

Certifications & Qualifications

Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Coding Specialist (CCS)Certified Professional Coder (CPC)

Industry Keywords

Healthcare IndustryCoding ActivitiesPayer RegulationsLCD InterpretationNCD Guidelines

About the role

Key responsibilities & impact

Oversee Quality/Focused Audits for all PRMO Coding teams.
Act as contact and coordinator for organization auditing needs.
Identify areas for improvement and recommend solutions where education is needed for accurate coding and billing for both Hospital and Professional areas.
Provide direction for department; Ensure TAT are met, QC of auditor QA, Ensure departmental integration, develop operational policies, procedures, standards and expectations.
Assist with policy and procedure maintenance for coding and auditing functions.
Read and interpret LCD, NCD and other payer regulations and guidelines as related to coverage of services.
Interviewing, hiring, training employees, planning, assigning, and directing workflows, employee performance evaluation.
Collaborate with other managers to ensure consistent implementation of coding policies, procedures and practice.

Requirements

What you’ll need

BS Health Information Management, Health Informatics, Health Administration, Finance or related field.
Master’s degree in Business Administration or Health Administration is preferred.
Six years of experience in the healthcare industry is required, two of the six years are supervising or coordinating coding activities.
Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is a bonus.

Benefits

Comp & perks

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.
The contributions of all individuals are respected, and all voices are heard.