Outpatient Complex Coder

🔥 1 minute ago

🐻 Alaska, Arizona, +30 more states – Remote

🐻 Alaska – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote 🍑 Georgia – Remote

💵 $27 - $41 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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This company has sponsored H1B visas in the past.

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Provide coding and abstracting for outpatient complex surgical and observation acute care services at all Banner hospitals • Review health record documentation and assign diagnoses and surgical procedure codes using ICD-CM/PCS and CPT-4 systems • Complete APC assignment on outpatient complex records as appropriate • Ensure ethical, accurate, and compliant coding under regulatory requirements and national coding guidelines • Analyze medical records and code diagnostic and procedural information, including modifiers • Consult medical providers to clarify missing or inadequate documentation and determine appropriate codes • Meet department productivity and quality standards • Address National Correct Coding Initiative (NCCI) edits and reconcile charges as required • Abstract clinical diagnoses, procedure codes, and other pertinent patient-encounter information • Place accounts in the appropriate status when documentation is missing • Ensure compliance with CMS, OIG, HCFA, state Medicaid plans, Banner policies, and professional standards • Mentor less experienced staff members and serve as a subject matter expert for complex coding • Independently interpret coding guidelines, NCCI edits, and LCDs before escalation to coding leadership • Work under general supervision and perform duties according to policies, procedures, regulatory, and accreditation requirements

🎯 Requirements

• 2 years recent experience in Outpatient Facility-based coding of Same Day Surgery & Observation • Complex coding experience in acute care across service lines • Experience with ICD-10-PCS, ICD-10-CM, and CPT coding • Current certification through AAPC or AHIMA: CCS, COC, CPC, RHIT, RHIA, or another appropriate coding certification in active status • High school diploma/GED or equivalent working knowledge and specialized formal training in medical record keeping, anatomy, physiology, pathology, medical terminology, nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a health care field • Two or more years of outpatient complex experience in an acute care inpatient facility or healthcare system • Knowledge and understanding of ICD CM/PCS and CPT4 coding principles and competencies • Ability to work effectively and efficiently in a remote setting using common office programs, coding software, and abstracting systems • Ability to complete a coding assessment within 48 hours after a successful interview • Ability to work an 8-hour shift between 5am-7pm, Monday-Friday • Ability to work with extensive sitting, periodic standing and walking, and significant computer, phone, and office-equipment use • May be required to lift up to 20 pounds • Ability to communicate effectively through reading, writing, and speaking

🏖️ Benefits

• Banner Health provides your equipment when hired • Fully remote position • Flexible 8-hour shift between 5am-7pm, Monday-Friday • Initial training support from the Banner Coding Education team and hiring manager • Continued career support • Great Place To Work® Certification™ workplace investment • Stimulating and rewarding career opportunities • Drug-free work environment

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