Medical Records Coder II-Inpatient

Medical Records Coder II – Inpatient

Join to apply for the Medical Records Coder II‑Inpatient role at Duke University
. The position is located in Durham, NC and pays $37,474.00‑$50,567.00.

PRMO (Patient Revenue Management Organization) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health. The Medical Records Coder II is a certified coder who coordinates and reviews the work of subordinate employees, assists with training, and ensures accurate coding of inpatient medical records using ICD‑10‑CM, ICD‑10‑PCS, and CPT‑4 conventions.

• Review complex medical records and accurately code the 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, ensuring 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, ensuring DRG/APC assignment is accurate.
• Abstract and compile data from medical records for optimal reimbursement for hospital and/or professional charges.
• 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 through continued education.
• Maintain knowledge of medical record practices, standards, regulations, JCAHO, HCFA, and other relevant agencies.
• Assist with special projects as required.
• Perform other related duties incidental to the work described herein.

• High school diploma required.
• Certification: RHIA or RHIT – no experience required; CCS – 2 years of coding experience required; CPC or HCS‑D – years of coding experience required.
• Must hold one of the following active/current certifications: RHIA Hospital Coding, 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.

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 provisions for requests for reasonable accommodation will be provided by each hiring department.