MEDICAL RECORDS CODER II
Duke University Health System · Durham, NC · 6 days ago
HealthcareFull-time
Summary
The Medical Records Coder II is a certified coder responsible for coordinating/reviewing the work of subordinate employees, assisting with training and continuing education programs, and ensuring accuracy in coding medical records using ICD-10-CM and CPT-4 coding conventions.
Responsibilities
- Coordinate/review the work of subordinate employees
- Absolutely review the complex medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT coding conventions
- Ensure quality and quantity of work performed through regular audits
- Absorb and compile data from medical records for appropriate optimal reimbursement for hospital and professional charges
- Consult with and educate physicians on coding practices and conventions to provide detailed coding information
- Communicate with nursing and ancillary services personnel to obtain the necessary 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
- Avoidance of DRG/APC assignment inaccuracies
- Assist with special projects as required
Requirements
- 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 Level Characteristics
Skills
- Knowledge of medical record practices, standards, regulations, the Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc.
Benefits
No specific benefits are listed in the job posting.
Pay
No specific pay information is provided in the job posting.
Schedule
No specific schedule information is provided in the job posting.