Medical Records Coder Ii

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.

We are the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote; all Duke University remote workers must reside in North Carolina, Virginia, South Carolina, Tennessee, Florida, or Texas.

Now offering a $10,000 sign‑on bonus that will pay out in four equal installments over 24 months—six months each.

The Medical Records Coder II is a certified coder who coordinates and reviews the work of subordinate employees and assists with training and continuing education programs. The role involves coding medical records using ICD‑10‑CM and CPT‑4 conventions, reviewing records for diagnostic and procedural specificity, and ensuring optimal reimbursement.

• Review complex medical records and accurately code diagnoses and procedures using ICD‑10‑CM and CPT coding conventions.
• Coordinate and review the work of designated employees and ensure quality and quantity of work through regular audits.
• Assist with research, development, and presentation of continuing education programs in specialized areas.
• Sequence diagnoses and procedures using coding guidelines and ensure accurate DRG/APC assignment.
• Abstract and compile data for reimbursement, consult with physicians on coding practices, and communicate with nursing and ancillary services for documentation.
• Maintain comprehensive knowledge of anatomy, physiology, medical terminology, disease processes, and surgical techniques through ongoing education.
• Assist with special projects as required and perform other related duties incidental to the work described.

• Advanced ICD‑10‑CM & CPT‑4 coding conventions
• Knowledge of anatomy and physiology
• Medical terminology proficiency
• Extensive DRG/APC reimbursement knowledge
• Coding software familiarity
• Effective written and verbal communication skills
• Data entry/CRT proficiency

• Education: High school diploma required.
• Experience: 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.
• 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, or 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.

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.