Coder Quality Associate

🕒 October 1

Where this job comes from

Posted on Banner Health's careers page ↗Banner Health's careers page, not through a job board

First seen by Remote Rocketship October 1

Still open on Banner Health's site. Checked 3 hours ago.

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Logo of Banner Health

Banner Health

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 it with billing codes • Perform quality assurance in Ambulatory Coding • Provide coding and guidance for non-standard billing • Review medical records and audit clinical documentation for coding accuracy and compliance • Monitor coding work and trends and provide education • Apply CMS, CPT, ICD-10, and NCCI guidelines to diagnosis and procedure code selection • Maintain consistency in coding practices and ethical coding compliance • Initiate and follow through on attending physician queries when applicable • Identify training needs for medical and coding staff • Provide written updates, spreadsheets, and audit findings • Advise Physician Practice Operations, clinical departments, and revenue integrity teams • Participate in quality initiatives, training, performance improvement, and management committees • Research coding discrepancies and trends and create reports for leadership • Track coding anomalies, charge capture gaps, revenue optimization opportunities, and staff education needs • Monitor coding regulatory updates and assist with change management and training • Design, test, and implement revenue cycle workflows and EHR/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 current experience in Ambulatory Physician-based coding • Bachelor's degree in Health Information Management or experience equivalent to the same • Current continuing education • Active CCS, CPC, CCS-P, RHIT, RHIA, or other qualified coding certification with 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 • 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 database and indices • Familiarity with coding and abstracting software, claims processing tools, common office software, and electronic medical records software

🏖️ Benefits

• Remote work options • Fully remote position • Drug-free work environment

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