Duke University Health System
MEDICAL CODER SPECIALIST
Duke University Health System, Durham, North Carolina, United States, 27703
About Duke Health's Patient Revenue Management Organization
We are a fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential revenue functions. Medical Coder Specialist Overview
The Medical Coder Specialist will have frequent daily interactions with internal and external clients, including physicians and non‑physician surgical providers. Responsibilities include primary diagnosis and procedural coding for major surgical specialty areas, capture of the Physician Quality Reporting System (PQRS), and reconciliation of all surgical cases performed at each hospital where applicable. Work Performed
Primarily code from final surgical/procedural operative reports signed by the provider. Review complex medical records and accurately code primary and secondary diagnoses and procedures using ICD‑10‑CM and CPT conventions. Maintain thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques. Correlate supporting clinical documentation from pathology, radiology, etc., after review by the attending physician. Provide education/training to physicians and other providers on coding and clinical documentation. Consult with and educate physicians on coding practices and conventions. Communicate with nursing and ancillary services personnel for needed documentation. Provide real‑time feedback to surgical/procedural providers regarding coding and documentation. Engage as primary liaison for documentation clarity and coding for defined surgical operative cases. Mentor and assist in the training of other coders within the department. Knowledge, Skills, and Abilities
Extensive knowledge of coding surgical procedures and applicable modifiers in a multi‑specialty setting. Understanding and application of Medicare Services guidelines to coding (ICD‑10‑CM & CPT‑4). DRG/APC reimbursement knowledge, coding software familiarity, effective written and verbal communication skills. Minimum Qualifications
Educational requirement is a Bachelor’s degree in medical record administration, an associate degree in medical record technology, or a related coding diploma or courses in medical terminology, anatomy & physiology. Requires four years of coding experience, with at least two years in surgical abstraction (e.g., cardiothoracic surgery, neurosurgery, general surgery, orthopedics). Certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC). Equal Opportunity Employer Statement
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), sexual orientation, or military status. Seniority Level
Mid‑Senior level Employment Type
Full‑time Job Function
Health Care Provider Industries
Hospitals and Health Care
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We are a fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential revenue functions. Medical Coder Specialist Overview
The Medical Coder Specialist will have frequent daily interactions with internal and external clients, including physicians and non‑physician surgical providers. Responsibilities include primary diagnosis and procedural coding for major surgical specialty areas, capture of the Physician Quality Reporting System (PQRS), and reconciliation of all surgical cases performed at each hospital where applicable. Work Performed
Primarily code from final surgical/procedural operative reports signed by the provider. Review complex medical records and accurately code primary and secondary diagnoses and procedures using ICD‑10‑CM and CPT conventions. Maintain thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques. Correlate supporting clinical documentation from pathology, radiology, etc., after review by the attending physician. Provide education/training to physicians and other providers on coding and clinical documentation. Consult with and educate physicians on coding practices and conventions. Communicate with nursing and ancillary services personnel for needed documentation. Provide real‑time feedback to surgical/procedural providers regarding coding and documentation. Engage as primary liaison for documentation clarity and coding for defined surgical operative cases. Mentor and assist in the training of other coders within the department. Knowledge, Skills, and Abilities
Extensive knowledge of coding surgical procedures and applicable modifiers in a multi‑specialty setting. Understanding and application of Medicare Services guidelines to coding (ICD‑10‑CM & CPT‑4). DRG/APC reimbursement knowledge, coding software familiarity, effective written and verbal communication skills. Minimum Qualifications
Educational requirement is a Bachelor’s degree in medical record administration, an associate degree in medical record technology, or a related coding diploma or courses in medical terminology, anatomy & physiology. Requires four years of coding experience, with at least two years in surgical abstraction (e.g., cardiothoracic surgery, neurosurgery, general surgery, orthopedics). Certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC). Equal Opportunity Employer Statement
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), sexual orientation, or military status. Seniority Level
Mid‑Senior level Employment Type
Full‑time Job Function
Health Care Provider Industries
Hospitals and Health Care
#J-18808-Ljbffr