Medical coder specialist

• Provide real-time feedback to surgical/procedural providers as it pertains to proper coding and clinical documentation of services performed.
• Engage in provider/department contact and education as the primary liaison for clarification of documentation and coding for defined surgical operative cases, including documentation deficiencies.
• Mentors and assists in the training of other coders within the department.
• Participate in the development of coding policies and procedures as identified.
• Coordinate/mentor the work of designated coding employees to ensure quality and quantity of work performed through regular audits.
• Assist with research and development of presentation materials for continuing education programs for physicians in their areas of specialization.
• Interact with and provide high-level analysis of trends to management, Revenue Managers and others about coding-related issues.
• Researches and identifies trends in unbilled accounts.
• Contacts appropriate personnel for clinical documentation inefficiencies.
• Coordinate quality reporting measures with providers and revenue managers/management (PQRS).
• Collaborate with appeal and edit coders for expedient resolution of accounts.
• Use authorized electronic media/systems for physician and non-physician clinician documentation, coding abstraction for each surgical procedure, and review of CCI edits, LCD and NCD coverage.
• Perform other related duties incidental to the work described herein.

Knowledge, Skills and Abilities

Extensive knowledge of coding surgical procedures and applicable modifiers in multi-specialty setting Understands and apply appropriate Center Medicare Services guidelines to coding Advanced ICD-10-CM & CPT-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

Level characteristics

Code and abstract from surgical operative notes while providing the primary communication w/ specialty surgical providers in the health system.

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)

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Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job 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.