Medical Records Coder Ii

MEDICAL RECORDS CODER II-Commitment Bonus

Work Arrangement:
Remote

Requisition Number: 266525

Regular or Temporary:
Regular

Location:

Durham, NC, US, 27710

Date:
Feb 17, 2026

At Duke Health, we're 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.

Work Arrangement:
Remote. All Duke University remote workers must reside in one of the following states:
North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas.

Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months—6-month increments.

The Medical Records Coder II is a certified coder. Coordinate/review the work of subordinate employees and assist with training and continuing education programs. Code medical records utilizing ICD-10-CM and 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.

Review complex (problematic) medical records and accurately code primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development and presentation of continuing education programs in areas of specialization. Sequence diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for optimal reimbursement.

Consult with and educate physicians on coding practices and conventions. Communicate with nursing and ancillary personnel for accurate documentation. Maintain thorough understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques through continuing education. Maintain understanding of medical record practices, standards, regulations, JCAHO, HCFA, MRNC, etc. Assist with special projects and perform related duties incidental to the work described herein.

• 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

High school diploma required.

RHIA certification—no experience required; RHIT certification—no experience required; CCS certification—one year of coding experience required; CPC or HCS-D certification—two years of coding experience required.

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 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.

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.

Durham

Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination e.edu/eeo.