Medical Records Coder II coding medical records utilizing ICD-10-CM at Duke Health. Collaborating with physicians and ensuring reimbursement accuracy through efficient coding practices.
Responsibilities
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.
Ensure quality and quantity of work performed through regular audits.
Collaborate with and educate physicians on coding practices and conventions.
Maintain a thorough understanding of medical record practices, standards, regulations, and guidelines.
Requirements
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
Advanced ICD-10-CM & CPT-4 coding conventions
Anatomy and Physiology familiarity
Medical Terminology knowledge
Extensive DRG/APC reimbursement knowledge
Coding software familiarity
Benefits
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.
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.
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