Medical Records Coder II-Inpatient

4 days ago Be among the first 25 applicants

PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service.

The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world‑class innovative revenue cycle organization that values our people, patients and performance.

Please note: This is NOT a remote work opportunity for candidates that reside in North Carolina, South Carolina, Georgia, Florida, Texas, or Virginia.

General Description Of The Job Class

The Medical Records Coder II (Inpatient) is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS, and/or CPT‑4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.

Duties

And Responsibilities Of This Level

• Review the complex medical records and accurately code primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, and/or CPT coding conventions.
• Coordinate and review the work of designated employees; ensure quality and quantity of work through regular audits.
• Assist with research, development, and presentation of continuing education programs on areas of specialization.
• Sequence diagnoses and procedures using coding guidelines; ensure DRG/APC assignment is accurate.
• Abstract and compile data from medical records for appropriate optimal reimbursement.
• Consult with and educate physicians on coding practices and conventions to provide detailed coding information.
• Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.
• Maintain a thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques; apply coding guidelines to inpatient and outpatient diagnoses and procedures.
• Maintain a thorough understanding of medical record practices, standards, regulations, JCAHO, HCFA, MRNC, etc.
• Assist with special projects as required.
• Perform other related duties incidental to the work described herein.

Education

Required Qualifications at this Level: High school diploma required.

Experience

• RHIA certification – no experience required.
• RHIT certification – no experience required.
• CCS certification – Two years of coding experience required (Must be in the service the applicant is applying for).
• CPC or HCS-D certification – years of coding experience required.

Degrees, Licensures, Certifications Must Hold One Of The Following Active/current Certifications

• Registered Health Information Administrator (RHIA) Hospital Coding
• Registered Health Information Technician (RHIT) Hospital
• Coding Certified Coding Specialist (CCS) Hospital Coding
• Certified Professional Coder (CPC)
• Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding

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 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.

Seniority Level

Entry level

Employment Type

Full-time

Job Function

Health Care Provider

Industries

Hospitals and Health Care

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