Medical Records CODER II; Outpatient

This position is 100% remote. All Duke University remote workers must reside in one of the following states:

North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington.

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 the 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 the complex medical records and accurately code the 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 through regular audits. Assist with research, development and presentation of continuing education programs on areas of specialization. Sequence the diagnoses and procedures using coding guidelines. Ensure 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. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to apply ICD‑10‑CM and CPT‑4 coding guidelines.

Maintain 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.

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.

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.

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, Homecare Coding Specialist‑Diagnosis (HCS‑D) Homecare Coding.

Remote. Nearest major market:
Durham. Nearest secondary market:
Raleigh.