Medical Records Coder

Join Duke Health as a Remote Medical Records Coder II

Are you an experienced medical coder looking for a fully remote role with career growth and a generous signing bonus? Duke Health is hiring a Remote Medical Records Coder II to ensure accurate coding, optimal reimbursement, and compliance with medical coding standards. As a Medical Records Coder II, you will code complex inpatient and outpatient records using ICD-10-CM and CPT-4 conventions, coordinate and review the work of other coders, and provide training and guidance. This position is 100% remote for qualified candidates residing in North Carolina, Virginia, South Carolina, Tennessee, Florida, or Texas, and comes with a $10,000 commitment bonus. If you are dedicated to coding accuracy, continuous learning, and supporting high-quality patient care, this role is ideal for you.

Key Responsibilities for a Medical Records Coder II

Accurate Medical Coding & Documentation

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

• Ensure proper sequencing of diagnoses and procedures following coding guidelines.

• Verify DRG/APC assignment accuracy and abstract data to optimize reimbursement for hospital and professional charges.

• Assist with special projects, audits, and quality improvement initiatives as needed.

Team Coordination & Training

• Coordinate and review coding work performed by designated employees to maintain quality and productivity.

• Assist in developing, presenting, and supporting continuing education programs for coding staff and physicians.

• Consult with physicians, nursing, and ancillary personnel to ensure complete and accurate documentation.

• Maintain coding standards while mentoring and providing technical guidance to colleagues.

Knowledge & Compliance

Stay Current in Coding Practices

• Maintain thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques.

• Keep up to date with coding guidelines, federal and state regulations, and accreditation standards (JCAHO, HCFA, MRNC, etc.).

• Apply best practices to coding inpatient and outpatient diagnoses and procedures.

• Participate in continuing education to ensure coding accuracy and professional growth.

Qualifications & Certifications

• High school diploma required; additional education preferred.

• Must hold one of the following active certifications:

  • RHIA (Registered Health Information Administrator)

  • RHIT (Registered Health Information Technician)

  • CCS (Certified Coding Specialist)

  • CPC (Certified Professional Coder)

  • HCS-D (Homecare Coding Specialist-Diagnosis)

• Required experience:

  • RHIA or RHIT: no prior experience required

  • CCS: 1 year of coding experience

  • CPC or HCS-D: 2 years of coding experience

Why Join Duke Health

• $10,000 Commitment Bonus paid in 4 installments over 24 months

• Fully remote work for residents of NC, VA, SC, TN, FL, or TX

• Opportunity to work with a leading healthcare organization dedicated to compassionate care

• Supportive work environment with ongoing professional development and continuing education

• Be part of a team that values collaboration, diversity, and innovation