Medical Coding Auditor Jobs in Raleigh, NC (NOW HIRING)

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

Please note: All Duke medical coding opportunities require candidates to have a North Carolina address as a condition of employment.

The Duke HomeCare &Hospice Medical Records Coder II is a certified Coder, responsible for coding activities for the home health and hospice areas at Duke. Code medical records utilizing ICD-10-CM coding conventions. Review the medical record to ensure specificity of diagnoses and appropriate/optimal reimbursement for Home Health and/or Hospice. Abstract information from medical records following established methods and procedures.

• 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 coding conventions
• Review medical record documentation and accurately code the primary/secondary diagnoses using ICD-10-CM coding conventions.
• Sequence diagnoses using coding guidelines.
• Abstract and compile data from medical records for appropriate optimal reimbursement for Home Health or Hospice 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 coding guidelines to inpatient and outpatient diagnoses and procedures.
• Maintain a thorough understanding of medical record practices, standards, regulations, The Joint Commission, Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), DHHS (Department of Health and Human Service), etc.
• Assist with special projects as required.
• Perform other related duties as assigned.

High School Diploma required

• 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

• 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

• Advanced ICD-10-CM & CPT-4 coding conventions
• Anatomy and Physiology
• Medical Terminology
• Extensive DRG/APC reimbursement knowledge
• HH PDGM Knowledge R/T Coding
• Coding software familiarity
• Effective written and verbal communication skills
• Data entry/CRT

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.

Certain jobs at Duke University and Duke University Health System may include essential job 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.