Duke Health is driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Duke University Health System is designated as a Magnet organization. Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000+ registered nurses.
Medical Records Coder II-Inpatient
Location
North Carolina + 23 moreAll locations: North Carolina | Alabama | Arizona | Connecticut | District Of Columbia | Florida | Georgia | Illinois | Iowa | Kentucky | Louisiana | Maine | Michigan | Missouri | Montana | New Hampshire | Ohio | Oregon | Pennsylvania | South Carolina | Tennessee | Texas | Virginia | Washington
Posted
40 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Medical Records Coder II-Inpatient
Duke Careers
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 Primary Care. 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. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. *Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments. Occ Summary- The Medical Records Coder II (Inpatient) 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 on 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 in order 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, 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 Education: High school diploma required. Experience 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 Degrees, Licensures, Certifications Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding RegisteredHealth Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Duke is an Affirmative Action/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, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob 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.
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Coding & RCM Specialist
ReKlame HealthSixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States. We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care and addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care.
About ReKlame Health Sixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States. We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care. At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist. About the Role We are seeking a detail-oriented Coding & RCM Specialist to support accurate coding and clean claims submission in a complex Medicaid and managed-care environment. This is a hands-on, production-focused role centered on CPT and ICD-10 coding accuracy and documentation review. You will partner with Revenue Cycle, Clinical Operations, and Finance to ensure services are coded correctly, documentation supports billed services, and common denial risks are caught early. This role is ideal for someone with 3–5 years of coding experience who enjoys detail-oriented work, pattern recognition, and improving claim quality through consistent execution. Key Responsibilities - Coding & Claim Accuracy - Own CPT/ICD-10 coding and strategy across psychiatry and medication management, with a focus on high-acuity and complex patient populations. - Review clinical documentation (eg SOAP notes) and supporting information to ensure clean claim submission. - Improve first-pass claim acceptance by proactively ensuring correct coding, flagging inconsistencies, and documenting gaps for correction. - Audit & Quality Review Support - Perform pre-bill and post-pay audits on a rolling basis. - Review EOBs and denial trends to identify recurring coding issues. - Document audit findings using structured templates and tracking tools. - Flag systemic risks to improve the process and escalate high-risk patterns or unusual payer behavior when necessary. - RCM Collaboration - Work closely with billing team members, senior management, and vendors to resolve claim issues. - Support coding corrections and resubmissions, provide clarification, and maintain internal reference guides for other team members when necessary. - Compliance & Coding Standards - Ensure compliance and alignment with CMS, state Medicaid, and managed-care guidelines. - Monitor changes in payer policies and stay up to date on behavioral health and psychiatry guidelines. - Partner with the credentialing and billing teams on implementing new payer contracts and RCM workflows. You will love this role if: - Certifications: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). - Technical Skills: Advanced proficiency with ICD-10, CPT, and HCPCS coding systems. Experience working with EHR systems, clinical notes, and medical billing software required. - Experience working with RCM and billing vendors is a strong plus. - Experience: Minimum of 3-5 years of professional experience in medical coding and billing required. - Strong preference for candidates with experience in behavioral health coding and expertise in Medicaid and managed-care systems. - Detail-Oriented: Exceptional accuracy and attention to detail in coding/billing and documentation. - Regulatory Knowledge: Strong understanding of HIPAA and healthcare compliance guidelines, with the ability to adapt to changing regulations. - Experience with denial resolutions, coding audits, and QA review preferred. - Problem-Solving Expertise: Analytical mindset with the ability to address complex challenges, identify solutions, and implement improvements with speed and accuracy. Must be comfortable with EOBs, patterns, and payer behavior. If you’re hungry for a challenge in 2026, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at www.ReKlamehealth.com *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam. ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach. ReKlame Health is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees. If you’re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at www.ReKlamehealth.com *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam.
Risk Adjustment Coder
Centene CorporationCentene Corporation is a Fortune 500, mission-driven healthcare leader committed to transforming the health of the communities we service, one person at a time. Through our local m
• Codes, abstracts and analyzes inpatient and/or outpatient medical records using the most current International Classification of Diseases, Tenth Revision (ICD-10) for CMS risk adjustment purposes. • Always coding to the highest level of specificity. • Follows the Official ICD-10 guidelines for Coding and Reporting. • Follows CMS risk adjustment guidelines. • Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. • Ability to meet productivity and accuracy standards. • Ability to defend coding decisions to both internal and external audits. • Performs other duties as assigned. • Complies with all policies and standards.
Radiologist- Interventional
WellSpan HealthAn integrated healthcare system, WellSpan Health offers medical services throughout northern Maryland and south-central Pennsylvania. Offering health and wellne
WellSpan Health is a sophisticated medical community serving the communities of central Pennsylvania and northern Maryland. We are seeking a full-time radiologist for our Level 1 Trauma Center at York Hospital. Position Highlights: - Seeking a board-certified radiologist - general diagnostic experience with fellowship training in interventional. Approximate mix is 50% DX and 50% IR - Access to an established team of specialty trained radiologists who pride themselves on teamwork, professionalism, and excellent patient care. - Group enjoys strong administrative, financial and IT support. System wide use of Epic EMR. Active AI program in place. Our Commitment to You: - Excellent compensation with base plus incentives – established radiologists earn in top percentile of market - Signing Bonus plus Student Loan Repayment Program - Retirement Savings Plan with employer contribution and match - $5,500 CME Allowance, Malpractice Coverage Including Tail - Additional compensation from unique and progressive internal moonlighting program and ability to work remotely About WellSpan and the Community: WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,700 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. For Confidential Consideration Contact: Laura Myers, Physician Recruiter WellSpan Health 717-495-8031 Lmyers9@wellspan.org
Inpatient Coding Specialist – Full Time
MercyOne of the 15 largest US health systems, Mercy serves millions annually with nationally recognized care.
• Responsible for reviewing and analyzing documentation present in the medical record for inpatient, outpatient and/or professional services • Assign diagnoses/procedure codes as described by the physician(s) of record • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
.png)

