MEDICAL RECORDS CODER II-Commitment Bonus Work Arrangement: Remote Requisition Number: 266516 Regular or Temporary: Regular Location: Durham, NC, 27710 Date: Feb 17, 2026 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 the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. 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 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 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. Work Performed Review complex medical records that require research and reference checking and accurately code primary/secondary diagnoses and procedures using ICD‑10‑CM and/or CPT coding conventions. Coordinate/review the work of designated employees and ensure quality and quantity of work through regular audits. Assist with research, development, and presentation of continuing education programs in areas of specialization. Sequence diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data for appropriate optimal reimbursement for hospital 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. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education. Maintain a thorough understanding of medical record practices, standards, regulations, JCAHO, HCFA, MRNC, etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Knowledge, Skills and Abilities Advanced ICD‑10‑CM & CPT‑4 coding conventions Anatomy and Physiology Medical Terminology Extensive DRG/APC reimbursement knowledge Coding software familiarity Effective written and verbal communication skills Data entry/CRT Minimum Qualifications 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, Registered Health Information Technician (RHIT) Hospital Coding, Certified Coding Specialist (CCS) Hospital Coding, Certified Professional Coder (CPC) Homecare Coding Specialist‑Diagnosis (Homecare Coding). 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. Essential Physical Job Functions: 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. Nearest Major Market: Durham Nearest Secondary Market: Raleigh Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo. #J-18808-Ljbffr