ICD-10-CM

coding conventions. Review the medical record to ensure specificity of diagnoses and appropriate/optimal reimbursement for Home Health and/or Hospice. Abstract information from medical records following established methods and procedures. Job Responsibilities Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using

ICD-10-CM

coding conventions\nReview medical record documentation and accurately code the primary/secondary diagnoses using

ICD-10-CM

coding conventions.\nSequence diagnoses using coding guidelines.\nAbstract and compile data from medical records for appropriate optimal reimbursement for Home Health or Hospice and/or professional charges.\nConsult with and educate physicians on coding practices and conventions to provide detailed coding information.\nCommunicate with nursing and ancillary services personnel for needed documentation for accurate coding.\nMaintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply

ICD-10-CM

coding guidelines to inpatient and outpatient diagnoses and procedures.\nMaintain a thorough understanding of medical record practices, standards, regulations, The Joint Commission, Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), DHHS (Department of Health and Human Service), etc.\nAssist with special projects as required.\nPerform other related duties as assigned. Education and Formal Training High School Diploma required Experience RHIA certification

no experience required\nRHIT certification
no experience required\nCCS certification
one year of coding experience required\nCPC or HCS-D certification
two years of coding experience required Degrees, Licensure, and/or Certification Must hold one of the following active/current certifications:\nRegistered Health Information Administrator (RHIA) Hospital Coding\nRegistered Health Information Technician (RHIT) Hospital Coding\nCertified Coding Specialist (CCS) Hospital Coding\nCertified Professional Coder (CPC)\nHomecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Knowledge, Skills & Abilities Advanced

ICD-10-CM & CPT-4

coding conventions Anatomy and Physiology Medical Terminology Extensive DRG/APC reimbursement knowledge HH PDGM Knowledge R/T Coding\nCoding software familiarity Effective written and verbal communication skills Data entry/CRT 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. 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 essential job functions that require specific physical and/or mental abilities. 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