Medical Records Coder II-Inpatient (Durham, NC, US, 27713)
PRMO:, established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke PrimaryCare. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
Please note: This is NOT a remote work opportunity for out-of-state candidates. All Duke medical coding opportunities require candidates to have a North Carolina address as a condition of employment.
*Now offering a $5,000 sign-on bonus that will pay out in 2 equal installments over 12 months - 6-month increments.
Existing PRMO Team Members: Do you know someone who might be a good fit for this position? A $500 Duke Team Member referral bonus is available!
General Description of the Job Class
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, ICD-10-PCS, and/or 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.
Duties and Responsibilities of this Level
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, ICD-10-PCS, 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 in areas of specialization.
Review medical record documentation and accurately code the primary/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 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/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
High school diploma 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/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
Knowledge, Skills, and Abilities:
Advanced ICD-10-CM, ICD-10-PCS&/or CPT-4 coding conventions
Anatomy and Physiology
Extensive DRG/APC reimbursement knowledge
Coding software familiarity
Effective written and verbal communication skills
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