At Duke Health were 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 Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization which is the 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 for Duke Health Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients including but not limited to physician and nonphysician surgical providers Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural areas including capture of applicable Physician Quality Reporting System PQRS and reconciliation of all surgical cases performed at each hospital where applicable The medical coder specialist focuses their work on the detailed physician surgical chart abstraction as well as being an immediate liaison to documentation improvement and optimization of physician coding practices for compliance and revenue purposes for the providers in these areas Surgical abstraction coding is defined as identification of codes based solely on the source documentation for CPT and ICD10CM respectively Work Performed Primary code from final surgicalprocedural operative reports signed by the provider Reviews the complex problematic coding that needs research and reference checking medical records and accurately codes the primarysecondary diagnoses and procedures using ICD10CM andor CPT coding conventions Maintain a thorough understanding of anatomy and physiology medical terminology disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD10CM and CPT4 coding guidelines to inpatient and outpatient diagnoses and procedures Correlate information from approved supporting clinical documentation not limited to pathology radiology andor other physician consultations after review by the attending physician wherever appropriate Provide educationtraining to physicians and other providers on coding and clinical documentation Consult with and educatetrain 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 Provide realtime feedback to surgicalprocedural providers as it pertains to proper coding and clinical documentation of services performed Engage in providerdepartment contact and education as the primary liaison for clarification of documentation and coding for defined surgical operative ca
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