Coder Primary Care Phys Pract

Banner Health; Northern (KY); Remote; USD 32,000 - 48,000; Full time

Benefits offered by this job

Equipment provided

Remote work opportunities

Job summary

Banner Health is seeking a Remote Primary Care Medical Coder to join our Primary Care Coding Team. You will evaluate medical records, assign ICD‑CM and CPT4 diagnoses, and support accurate reimbursement while collaborating with a nationwide team.

The ideal candidate holds CPC/CCS or equivalent AHIMA/AAPC credentials, can work independently from a remote setting, and thrives in a collaborative environment with strong quality standards and ongoing training.

Qualifications

• Certified CPC/CCS/CCS-P/CCA/AAPC AHIMA in active status.
• Experience with ICD-CM and CPT-4 coding principles.
• Remote work capability with strong communication.

Responsibilities

• Analyze medical records and code diagnoses and procedures.
• Abstract records into electronic medical records with accuracy.
• Ensure compliance with CMS and state regulations.
• Produce daily/monthly coding reports and analysis.
• Collaborate with providers to clarify documentation.

Skills

ICD/CPT coding

National coding guidelines

Quality assurance

Education

High school diploma

Associate's degree in healthcare

Tools

Cerner

NextGen

EMR systems

Job description

Health care is full of possibilities. Medical Coders play a pivotal role in ensuring patients receive the best at Banner Health. If you’re looking to leverage your abilities – you belong at Banner Health. Banner Health is one of the largest, nonprofit healthcare systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Banner offers a wide range of radiology services which creates lots of opportunities to learn new modalities. This is a **Primary Care Coding Team** of 10 Coders, 1 Associate Manager, 1 Coding Educator, and 1 Associate Director. This team works very closely together with lots of great collaboration and teamwork. The systems used are Cerner & NextGen. We are excited to have you join our team! Are you interested in becoming a **Primary Care Coder | Medical Coder - Remote with the ability to learn and cross-train in a wide range of specialties; non-academic primary care, geriatrics, internal medicine, radiology, endocrinology, and same day clinics** ... consider joining our team! A CPC Certification is required in active status. Production expectations are around 75 encounters per day. As a Primary Care Coder, you will have the remarkable opportunity to work remotely and still be part of an engaged team of 10 who works hard every day to make healthcare easier, so life can be better. **Banner Health provides your equipment when hired. You will be fully supported in training with continued support throughout your career here!****This is a 100% remote position if you live in the following Banner 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, WV, WA, WI & WY.** **The hours are flexible** as we have remote Coders across the Nation. Generally, any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life!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 Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes diagnostic and procedural information 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 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 documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification/additional information for accurate code assignment. 3. Provides quality assurance for medical records. For all assigned records and/or areas assures 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 company and applicable professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 5. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations). MINIMUM QUALIFICATIONSHigh school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course 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 related health care field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder – Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Certification may also include a general area of specialty. Six months providing professional coding services or other related healthcare experience within a broad range of health care facilities. Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification 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 Specialty Certification. Additional related education and/or experience preferred.**Estimated Pay Range:**$23.16 - $34.74 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.