Physician Coder, CQA, Ambulatory

Job not on LinkedIn

🔥 16 minutes ago

🐻 Alaska, Arizona, +29 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

💵 $29 - $48 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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

• Interpret clinical documentation and align documentation with billing codes for quality assurance • Work with medical staff and quality management staff to improve clinical documentation and billing-code accuracy before claim submission • Provide coding and guidance for non-standard billing and professional fee coding • Research authoritative coding and reimbursement references • Review medical records and audit clinical documentation for coding accuracy and compliance • Monitor coding work and trends and provide education when opportunities are identified • Apply CMS, CPT, ICD-10, and NCCI guidelines to diagnosis and procedure code selection • Initiate and follow through on attending physician queries when applicable • Identify training needs for medical and coding staff • Provide written updates, spreadsheets, reports, and data findings • Participate in internal coding accuracy audits and company-wide quality initiatives • Advise operations, clinical departments, and revenue integrity teams on charge-related issues • Partner with Documentation and Coding Education on staff training • Research coding discrepancies and trends in inpatient and/or outpatient charge capture • Track coding anomalies, charge-capture gaps, revenue-optimization opportunities, and staff-education needs • Maintain knowledge of coding regulatory updates and assist with change-management planning • Design, test, and implement revenue-cycle workflows and EHR and billing-software changes • Act as physician coding liaison to the clinical informatics team • Work independently under limited supervision and provide billing guidance for medical facilities

🎯 Requirements

• 5 years of current experience in Ambulatory Physician-based coding • Bachelor’s degree in Health Information Management or equivalent experience • Current continuing education • Active CCS, CPC, CCS-P, RHIT, RHIA, or other qualified coding certification through AHIMA or AAPC • Proficiency in hospital and/or multiple physician specialty coding • Thorough knowledge of ICD-10 and/or CPT coding principles • In-depth knowledge of medical terminology, anatomy and physiology, and clinical records • Extensive knowledge of coding conventions and reimbursement guidelines across service lines • Critical and analytical thinking skills • Ability to organize workload, meet deadlines, and maintain confidentiality • Excellent written and oral communication skills • Knowledge of Medicare, Physician Fee Schedule, clinical coding databases and indices • Familiarity with coding and abstracting software, claims processing tools, common office software, and electronic medical records software • Ability to live in one of the eligible states: Alaska, Arkansas, Arizona, California, Colorado, Florida, Georgia, Iowa, Idaho, Indiana, Kansas, Kentucky, Michigan, Minnesota, Missouri, Mississippi, North Carolina, North Dakota, Nebraska, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, or Wyoming

🏖️ Benefits

• Remote work options • Fully remote position • Career and lifestyle choices • Continuing education • Drug-free work environment