Medical Records Coder II

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Duke Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1924

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

📋 Description

• 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 coding conventions • Review medical record documentation and accurately code the primary/secondary diagnoses using ICD-10-CM coding conventions • Sequence diagnoses using coding guidelines • Abstract and compile data from medical records for appropriate optimal reimbursement for Home Health or Hospice 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 coding guidelines to inpatient and outpatient diagnoses and procedures • Maintain a thorough understanding of medical record practices, standards, regulations, The Joint Commission, Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), DHHS (Department of Health and Human Service), etc. • Assist with special projects as required • Perform other related duties as assigned.

🎯 Requirements

• 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) • Advanced ICD-10-CM & CPT-4 coding conventions • Anatomy and Physiology • Medical Terminology • Extensive DRG/APC reimbursement knowledge • HH PDGM Knowledge R/T Coding • Coding software familiarity • Effective written and verbal communication skills • Data entry/CRT

🏖️ Benefits

• Must Reside within 2 Hours of Office • All Duke medical coding opportunities require candidates to have a North Carolina address as a condition of employment.