People with Purpose.
MEDICAL RECORDS CODER II
Location
United States
Posted
4 days ago
Salary
Not specified
Seniority
Mid Level
No structured requirement data.
Job Description
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.
About Duke Health's Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.
This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas.
Occ Summary
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.
Work Performed
Review the complex (problematic coding that needs research and reference checking) 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 performed through regular audits. Assist with research, development and presentation of continuing education programs on areas of specialization. Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. 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 through participation in continuing education programs to effectively apply ICD- 10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein.
Knowledge,Skills and Abilities
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
Level Characteristics
N/A
Minimum Qualifications
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.
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.
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
Degrees, Licensures, 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 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.
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.
Job Requirements
- 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.
- 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)
- Registered Health Information Technician (RHIT)
- Certified Coding Specialist (CCS)
- Certified Professional Coder (CPC)
- Homecare Coding Specialist-Diagnosis (HCS-D)
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Benefits Investigation Specialist / Remote
AmeritaAmerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.
This role is responsible for verifying patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement. The specialist will also investigate authorization requirements for medications and facilitate patient enrollment in copay card assistance programs based on eligibility.
Pathology Reporting Specialist
Mayo ClinicHeadquartered in Rochester, Minnesota, Mayo Clinic is a nonprofit medical institution ranked first in more specialties than all other hospitals in America. The
Perform various tasks to support pathologists, ensuring accuracy in medical documents, coordinating patient case materials, and mentoring team members while optimizing workflow and maintaining high standards of organization and communication.
The Carl T. Hayden Veterans Affairs Medical Center in Phoenix, Arizona is seeking a dynamic Medical Records Technician (Coder-Inpatient) to join our Health Information Management (HIM) team! MRT (Coder-Inpatient) will analyze and abstract patients' health records and assign alpha...
Patient Account Specialist
Mountain Region SupportWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to: Building healthy communities. Advocating for those who are poor and vulnerable. Innovating how and where healing can happen both inside our hospitals and out in the community.
The Patient Account Specialist is responsible for processing account payments, updating insurance and demographic information, and researching payments. They will also handle rebilling insurance after updates and collaborate with other departments to achieve resolutions, including adjustments and insurance follow-up.
