Medical Records Coder II – Outpatient

Duke Careers

Medical Records Coder II responsible for coding medical records utilizing ICD-10-CM and CPT-4 conventions. Part of Duke Health's Patient Revenue Management Organization with a focus on accurate reimbursement processes.

Posted 6/17/2026full-timeRemote • Alabama, Arizona, Connecticut, District of Columbia, Florida, Illinois, Iowa, Kentucky, Louisiana, Maine, Missouri, Montana, New Hampshire, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Coordinate/review the work of subordinate employees and assist with the training and continuing education programs.
Code medical records utilizing ICD-10-CM and 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.
Review the complex medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions.
Ensure quality and quantity of work performed through regular audits.
Assist with research, development, and presentation of continuing education programs on areas of specialization.
Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs.

Requirements

What you’ll need

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, or Homecare Coding Specialist-Diagnosis (HCS-D).

Benefits

Comp & perks

Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments.

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

ICD-10-CM codingCPT-4 codingmedical record abstractiondiagnosis codingprocedure codingauditinganatomy knowledgephysiology knowledgemedical terminologysurgical techniques

Soft Skills

coordinationtrainingcommunicationattention to detailorganizational skillsresearch skillspresentation skillsquality assuranceproblem-solvingteam collaboration

Certifications

RHIARHITCCSCPCHCS-D