[Hiring] MEDICAL RECORDS CODER II @Duke Careers

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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.
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