Facility Coder Outpatient Complex

Banner Health; Little Rock (AR); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a leading healthcare organization as a Facility Coder Outpatient Complex. This fully remote role involves coding for outpatient complex surgical services, ensuring compliance with coding guidelines, and mentoring staff. Ideal candidates have strong coding experience and relevant certifications.

Qualifications

• At least two years of outpatient complex experience in an acute care setting.
• Certification such as CCS, COC, CPC, RHIT, or RHIA in active status.

Responsibilities

• Analyzes medical information and codes diagnostic and procedural information accurately.
• Provides quality coding ensuring compliance with coding rules and regulations.
• Mentors less experienced staff members and addresses complex coding matters.

Skills

ICD-10CM

ICD-10-PCS

CPT4

Education

High school diploma/GED

Associate’s degree in a healthcare field

Job description

Join to apply for the Facility Coder Outpatient Complex role at Banner Health

Estimated Pay Range: $25.54 - $38.30 / hour, based on location, education, & experience.

Department Name: Revenue Cycle

Work Shift: Day

Job Category: Revenue Cycle

Looking for a motivated, experienced Outpatient | Acute Care | HIMS Complex Coder to join our talented Acute Care HIMS Coding Team. Candidate should have complex coding experience in acute care, all service lines including, but not limited to: General, Orthopedic, Urology/Gynecology, Cardiac, Spinal, etc. Must have ICD-10CM and ICD-10-PCS coding experience.

Our outpatient coding expectation is 1-2 charts per hour while maintaining an accuracy rate of 95% or higher. We use the number of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate performance to Banner standards, which are currently more stringent than most national standards identified. Meeting Accounts Receivable goals supports Banner Financial goals. You will be fully supported in training, including continued support throughout your career here!

This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, 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, Monday - Friday, can work, with production being the greatest emphasis.

A Coding Assessment will be given after a successful interview to be completed within 48 hours.

Position Summary: This position provides coding and abstracting for a full range of outpatient complex surgical and observation acute care services at all Banner hospitals. Reviews health record documentation and assigns diagnoses and/or surgical procedure codes on all outpatient complex records using ICD CM/PCS and CPT4 coding classification systems. 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 NCCI edits as appropriate. Reconciliation of charges as required.
2. Abstracts clinical diagnoses, procedure codes and other pertinent information obtained from the patient encounter. Places 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, CMS, OIG, HCFA, Banner policies, and professional standards. This includes highest complexity accounts encountered in Banner’s Academic, Trauma, and high acuity facilities.
4. May provide mentoring for less experienced staff members or act as a subject matter expert for complex coding.
5. Works under general supervision, addressing complex coding matters independently with regard to interpretation of coding guidelines, NCCI edits, and LCDs, before referral to higher levels.

Minimum Qualifications: High school diploma/GED or equivalent, specialized training in medical record keeping, anatomy, physiology, pathology, medical terminology, and classification of diagnoses and operations, or an Associate’s degree in a healthcare field. Certification such as CCS, COC, CPC, RHIT, or RHIA in active status with AHIMA or AAPC. At least two years of outpatient complex experience in an acute care setting. Knowledge of ICD CM/PCS, CPT4 coding principles, and competencies demonstrated through certification. Ability to work effectively remotely using standard office and coding software.

Preferred Qualifications: Associate degree or equivalent experience, previous experience in large multi-system healthcare organizations.