Medical Records Coder II

Duke Careers

. Review complex medical records and accurately code primary and secondary diagnoses and procedures using ICD-10-CM and CPT/CPT-4 conventions .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10-CM and CPT coding conventions, ensuring accurate coding and optimal reimbursement through thorough knowledge of medical terminology, anatomy, and physiology. Capable of conducting audits, coordinating team efforts, and educating healthcare professionals on coding practices.

Highest-signal resume keywords

ICD-10-CM CodingCPT CodingDRG/APC Reimbursement KnowledgeRHIA CertificationEffective Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingData EntryCoding AuditsDiagnosis SequencingMedical Record Abstraction

Soft Skills

Team CoordinationWritten CommunicationVerbal Communication

Tools & Technologies

Coding Software

Certifications & Qualifications

RHIARHITCCSCPCHCS-D

Industry Keywords

Medical TerminologyAnatomyPhysiologyJCAHOHCFAMRNC

About the role

Key responsibilities & impact

Review complex medical records and accurately code primary and secondary diagnoses and procedures using ICD-10-CM and CPT/CPT-4 conventions
Coordinate and review the work of designated or subordinate employees
Conduct regular audits to ensure coding work quality and quantity
Assist with research, development, and presentation of continuing education programs
Sequence diagnoses and procedures using coding guidelines
Ensure accurate DRG/APC assignment
Abstract and compile medical-record data for optimal reimbursement of hospital or professional charges
Consult with and educate physicians on coding practices and conventions
Communicate with nursing and ancillary services personnel to obtain documentation needed for accurate coding
Maintain knowledge of anatomy, physiology, medical terminology, disease processes, surgical techniques, medical-record practices, standards, regulations, JCAHO, HCFA, and MRNC
Assist with special projects and perform related duties

Requirements

What you’ll need

High school diploma required
Must hold one active/current certification: RHIA, RHIT, CCS, CPC, or HCS-D
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 and CPT-4 coding conventions
Knowledge of anatomy and physiology
Knowledge of medical terminology
Extensive DRG/APC reimbursement knowledge
Coding software familiarity
Effective written and verbal communication skills
Data entry/CRT
Must reside in one of the listed states for Duke University remote workers

Benefits

Comp & perks

$10,000 sign-on bonus paid in 4 equal installments over 24 months
100% remote work arrangement