Medical Coder Specialist

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.

 

Occ Summary

 

Coordinate or review the work of subordinate employees and assist with training and continuing education programs. Code medical records utilizing ICD-9-CM and CPT-4coding conventions. Review the medical record to assure specificity of diagnoses, procedures, and appropriate or optimal reimbursement for hospital and/or professional charges. Abstract information from medical records follows established methods and procedures. Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary and secondary diagnoses and procedures using ICD-9-CMand/o rCPT coding conventions. Productivity (quantity and quality) is at a higher level than for Level I. - Coordinate or review the work of designated employees. Ensure the quality and quantity of work performed through regular udits.- Assist with research, development, and presentation of continuing education programs in areas of specialization. - Review medical records for documentation and accurately code primary and secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure the DRG/APC assignment is accur ate.Abstract and compile data from medical records for appropriate optimization of reimbursement for hospital and/or professional charges.

 

Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-9-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and - Maintain a thorough understanding of medical record practices, standards, and regulations; Joint Commission on Accreditation of Health Organizations (JCAHO); HealthCare/FCC Assist with special projects as required. Advanced ICD-9-CM and Clinical Administration (HCFA), Medical Review of North Carolina (MRNC), etPT-4 coding conventions Anatomy and Physiology Medical Terminology - Extensive DRG/APC reimbursement knowledge; - Coding software familiarity Effective written and verbal communication skills Data entry/CRT

 

 

Minimum Qualifications

 

 

Education

Bachelor degree in medical record administration or associate degree in medical record technology or one year coding diploma or courses in Medical Terminology, Anatomy & Physiology with extensive training in coding.

 

Experience

 

Requires four years of coding experience, with at least two of those years in surgical abstraction (physician or medical group in multi- specialty surgical practices, i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, etc.).

 

Degrees, Licensures, Certifications

 

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

 

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 physi