Medical Records Coder II-Inpatient (Commitment Bonus)
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.
Please note: All Duke medical coding opportunities require candidates to have a North Carolina address as a condition of employment.
*Now offering a $5,000 commitment bonus that will pay out in 2 equal installments over 12 months in 6-month increments.
General Description of the Job Class
The Medical Records Coder II (Inpatient) is a certified coder. Coordinate or review the work of subordinate employees and assist with training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS, and/or CPT-4 coding conventions. Review the medical record to ensure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.
Duties and Responsibilities of this Level
- Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, and/or CPT coding conventions.
- Coordinate or review the work of designated employees. Ensure the quality and quantity of work performed through regular audits.
- Assist with the research, development, and presentation of continuing education programs in areas of specialization.
- Review medical record documentation and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure the 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 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, ICD-10-PCS, and/or CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
- Maintain a thorough understanding of medical record practices, standards, and regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care and 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.
Required Qualifications at this Level
A high school diploma is required.
- RHIA certification-no experience required
- RHIT certification-no experience required
- CCS certification: two years of coding experience required (Must be in the service applicant is applying for)
- CPC or HCS-D certification: two years of coding experience required
RHIA certification—no e
Degrees, Licensure, and/or Certification
Must hold one of the following active or current certifications:
- Registered Health Information Administrator (RHIA) Hospital Coding
- Registered Health Information Technician (RHIT) Hospital
In addition to one of the following:
- Coding: Certified Coding Specialist (CCS) Hospital Coding
- Certified Professional Coder (CPC)
- Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding
Knowledge, Skills, and Abilities:
- Advanced ICD-10-CM, ICD-10-PCS, and/or 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 Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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.
Explore Patient Revenue Management Organization
Want to see where you’d be working? Check out this location and everything it has to offer you.
Serving With Purpose
You’ve always been called to care – and we share your dedication to making a meaningful difference in the community. With the entire team united through this purpose, there are no limits to what we can achieve together. You’ll have all the resources you need here to leave a legacy of exceptional service because at Duke Health we support you in your calling to care.
Awards and Recognition
Duke Health is consistently recognized as a top employer for our dedication to the team members and the patients we serve.
On Forbes list of Best Large Employers, we are the #1 healthcare recipient in North Carolina for 2023.
Our hospitals are consistently recognized as LGBTQ Healthcare Equality Leaders by Healthcare Equality Index.
We are among about 9 percent of U.S. hospitals that hold the American Nurses Credentialing Center’s Magnet Recognition honor.
CHIME Digital Health Most Wired recipient since 2018, honoring our ability to elevate the health and care of communities around the world.
We are proud to be named as the #1 healthcare system in North Carolina on Fortune’s America’s Most Innovative Companies 2023 list.
Jobs For You
As you search for opportunities that fit your skills, any jobs you view will appear here.
You haven’t saved any jobs yet, but when you find an opportunity that seems right for you, bookmark it so you can return to it easily.
More About Duke Health
Upcoming Hiring Events
Check out our calendar of events to stay up-to-date on information sessions, webinars, and other events featuring new opportunities at Duke Health.
Benefits You’ll Love
We want to make your life better both in and out of work. That’s why we offer comprehensive benefits and unique perks that cater to you and your family.
What We Stand For
Our values define the work we do. Team members here share in these values, creating a community that is connected in purpose and committed to excellence.
With hospitals in Raleigh and Durham and over 140 specialty and primary care clinics around the Triangle region, there are many options to join Duke Health in the city and the suburbs.