Medical Records Coder Ii-Inpatient

Duke Health

2+ years

Not Disclosed

Remote, USA

10 Sept. 26, 2024

Job Description

Job Type: Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Medical Records Coder II - Inpatient

Work Arrangement: Remote Opportunity (available to candidates in NC, VA, SC, TN, FL, and TX)

Requisition Number: 230507
Location: Durham, NC
Personnel Area: Patient Revenue Management Organization (PRMO)
Date: September 26, 2024

About PRMO:

Established in 2001, the Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting Duke Health facilities, including Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital. Our mission is to enhance the patient experience and provide financial security while upholding Duke's commitment to advancing health together. We strive to be recognized as a world-class, innovative revenue cycle organization that values our people, patients, and performance.

Position Summary:

The Medical Records Coder II (Inpatient) is a certified coding professional responsible for coding medical records using ICD-10-CM, ICD-10-PCS, and CPT-4 conventions. This role includes coordinating and reviewing the work of junior staff and assisting with training and continuing education programs. The coder will ensure accuracy in diagnosing and procedure coding for optimal reimbursement.

Key Responsibilities:

Review complex medical records requiring research and reference checks to accurately code primary and secondary diagnoses and procedures.
Oversee the work of designated employees, conducting regular audits to ensure quality and productivity.
Assist in developing and presenting continuing education programs in coding and medical record practices.
Ensure compliance with coding guidelines, accurately sequence diagnoses and procedures, and verify DRG/APC assignments.
Educate physicians on coding practices and work collaboratively with nursing and ancillary staff for accurate documentation.
Maintain current knowledge of anatomy, physiology, medical terminology, and coding guidelines through ongoing education.
Stay informed about medical record practices, standards, and regulations, including JCAHO and HCFA guidelines.
Support special projects and perform other related duties as required.

Required Qualifications:

Education:

High school diploma required.

Experience:

Certifications:
- RHIA or RHIT certification: No prior experience required.
- CCS, CPC, or HCS-D certification: Minimum of two years of relevant coding experience is required.

Certifications:

Must hold one of the following active 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)

Knowledge, Skills, and Abilities:

Proficient in ICD-10-CM, ICD-10-PCS, and CPT-4 coding conventions.
Strong understanding of anatomy and physiology, medical terminology, and DRG/APC reimbursement systems.
Familiarity with coding software and data entry processes.
Excellent written and verbal communication skills.

Diversity and Inclusion:

Duke University and Duke University Health System are committed to creating a diverse community that fosters collaboration, innovation, and belonging. We strive to ensure all members feel secure, respected, and heard. We uphold affirmative action and equal opportunity employment practices, valuing diversity in our workforce.

Physical Job Functions:

Some positions may require specific physical and/or mental abilities. Further details regarding reasonable accommodations will be provided by the hiring department.

Join Us:

If you are passionate about enhancing the patient experience and contributing to a world-class healthcare organization, we invite you to apply for this position. Your expertise can make a meaningful difference in our community.

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Medical Records Coder Ii-Inpatient

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