MEDICAL RECORDS CODER II

Duke Clinical Research Institute; Durham (NC); On-site; USD 40,000 - 60,000; Full time

Job summary

A healthcare research institute in North Carolina is seeking a Medical Records Coder II. The successful candidate will review and accurately code medical records following ICD-10-CM and CPT-4 conventions. Essential qualifications include previous coding experience and relevant certifications. The role also involves coordinating work and ensuring quality control within the coding team.

Qualifications

• Certified Coder with RDIA, RHIT, CCS, CPC, or HCS-D certifications.
• Two years of coding experience preferred for some certifications.

Responsibilities

• Review and code complex medical records using ICD-10-CM and CPT codes.
• Coordinate and review the work of employees.
• Perform quality audits of coding work.
• Assist in the development of continuing education programs.
• Ensure accurate DRG/APC assignments.

Skills

Advanced ICD-10-CM coding

CPT-4 coding

Anatomy and Physiology

Medical Terminology

DRG/APC reimbursement knowledge

Coding software familiarity

Effective written communication

Effective verbal communication

Data entry

Education

High school diploma

Job description

Overview

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.

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

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