[Hiring] MEDICAL RECORDS CODER II @Duke Careers

Role Description

The Medical Records Coder II is a certified Coder responsible for coordinating and reviewing the work of subordinate employees and assisting with training and continuing education programs. Key responsibilities include:

• Code medical records utilizing ICD-10-CM and CPT-4 coding conventions.
• Review medical records to assure specificity of diagnoses, procedures, and appropriate reimbursement.
• Abstract information from medical records following established methods and procedures.
• Review complex medical records and accurately code primary/secondary diagnoses and procedures.
• 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.
• Consult with and educate physicians on coding practices.
• Communicate with nursing and ancillary services for needed documentation.
• Maintain understanding of anatomy, physiology, medical terminology, and coding guidelines.
• Assist with special projects as required.
• Perform other related duties incidental to the work described herein.

Qualifications

• Advanced ICD-10-CM & CPT-4 coding conventions.
• Anatomy and Physiology knowledge.
• Medical Terminology proficiency.
• Extensive DRG/APC reimbursement knowledge.
• Coding software familiarity.
• Effective written and verbal communication skills.
• Data entry/CRT skills.

Requirements

• High school diploma required.
• Must hold one of the following active/current certifications:
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Homecare Coding Specialist-Diagnosis (HCS-D)
• 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.

Benefits

• 100% remote position.
• Must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, or Texas.