Primary City/State:
Arizona, Arizona
Department Name:
Coding-Acute Care Hospital
Work Shift:
Day
Job Category:
Revenue Cycle
As part of the Banner Health Revenue Cycle Team, there are opportunities within that team. We specialize in Outpatient Coding on the facility side. These positions offer opportunities for growth within the coding department, including roles such as Coding Educator, Coding Quality Analyst, and supervisory / management opportunities. Additionally, as part of the Revenue Cycle team, there are opportunities within that team as well. There are also paid education opportunities, internal education, and opportunities for growth in this exceptional team environment.
Looking for a motivated, experienced Outpatient Facility | Acute Care | HIMS Medical Coder to join our talented Acute Care HIMS Coding Team. Bring your experience inpatient Acute Care facility coding experience and grow at Banner! (physician or pro-fee coding is not needed) This requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other appropriate coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). In most of our Coding roles, there is a Coding Assessment given after each successful interview. Banner Health provides your equipment when hired. You will be fully supported in training for anywhere from 1 month+ according to individual need, with continued support throughout your career here!
This is a fully remote position and available if you live in the following states only: AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY
The hours are flexible as we have remote Coders across the Nation. The hours are flexible with some minor parameters. Generally, any 8 hour period between 7am – 7pm can work, with production being the greatest emphasis.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSITION SUMMARY
This position provides coding and abstracting for lower complexity hospital outpatient range of services including Emergency Room, Diagnostic, Recurring encounters as well as lower complexity outpatient surgeries and observation accounts encounters at all Banner hospitals. Assigns diagnoses and/or surgical procedure codes on outpatient records using ICD CM/PCS and CPT4 coding classification systems. Completes APC assignment on outpatient records as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and nationally recognized coding guidelines.
CORE FUNCTIONS
1. Analyzes medical information from medical records. Accurately codes diagnostic and procedural information, including modifiers, in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate coding in accordance to department specific productivity and quality standards. Codes ICD CM/PCS and CPT4 for accurate APC assignment. Addresses National Correct Coding Initiative (NCCI) edits as appropriate. Reconciliation of charges as required.
2. Abstracts clinical diagnoses, procedure codes and other pertinent information obtained from the patient encounter. Place account in the appropriate status for required missing documentation to complete assignment of disease and procedure codes, and any pertinent abstract elements.
3. Provides quality coding by ensuring compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as Banner specific policy and procedures and applicable professional standards for lower complexity hospital outpatient range of services including Emergency Room, Diagnostic, Recurring encounters as well as lower complexity outpatient surgeries and observation accounts at all Banner hospitals.
4. Works under general supervision using specialized knowledge for accurate assignment of ICD-CM/PCS and CPT4 codes according to national guidelines. Works within a set of defined rules. Ability to address lower complex coding matters independently with regard to interpretation of coding guidelines, NCCI edits, and LCDs (Local Coverage Determinations) prior to referral to coding analyst, coding educator, or coding manager/supervisor.
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge and specialized formal training in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a health care field.
Requires Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other appropriate coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
Requires six months of outpatient coding experience in an acute care inpatient facility or healthcare system.
Must demonstrate a level of knowledge and understanding of ICD CM/PCS, CPT4 coding principles and coding competencies as demonstrated by certification through the American Health Information Management Association or by the American Academy of Professional Coders.
Must be able to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.
PREFERRED QUALIFICATIONS
Associates degree in a job-related field or experience equivalent to same.
Previous experience in large, multi-system healthcare organization.
Additional related education and/or experience preferred.
EEO Statement:
EEO/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
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