Facility Coder Outpatient Complex

Banner Health; Nashville (TN); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a motivated and experienced Facility Coder for outpatient complex coding. The role involves coding for a variety of acute care services while ensuring compliance with coding guidelines. This fully remote position offers flexible hours and the opportunity to work with a talented team. Candidates must have relevant certifications and experience in outpatient complex coding.

Qualifications

• Requires two or more years of outpatient complex experience in an acute care setting.
• Must demonstrate proficiency in ICD CM/PCS, CPT4 coding principles.

Responsibilities

• Analyzes medical information from medical records and codes diagnostic and procedural information.
• Ensures ethical and accurate coding in accordance with regulations.
• Mentors less experienced staff members.

Skills

ICD-10CM

ICD-10-PCS

CPT4

Medical Terminology

Education

High school diploma/GED

Associate’s degree in a healthcare field

CCS certification

COC certification

CPC certification

RHIT certification

RHIA certification

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, and experience.

Department Name: 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 with 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 high-complexity accounts in Banner’s Academic, Trauma, and high acuity facilities.
4. May provide mentoring for less experienced staff members and act as a subject matter expert for complex coding.
5. Works under general supervision using specialized expertise. Addresses complex coding matters independently, interpreting guidelines, NCCI edits, and LCDs prior to escalation.

Minimum Qualifications: High school diploma/GED or equivalent, specialized training in medical record principles, anatomy, physiology, pathology, medical terminology, and classification of diagnoses and operations, or an Associate’s degree in a healthcare field. Requires CCS, COC, CPC, RHIT, RHIA certification, or similar, active with AHIMA or AAPC. Requires two or more years of outpatient complex experience in an acute care setting. Must demonstrate proficiency in ICD CM/PCS, CPT4 coding principles, and competencies. Must be able to work effectively remotely using standard office and coding systems.

Preferred Qualifications: Associates degree or equivalent experience, previous experience in large healthcare organizations.

Application deadline: 2025-09-09

EEO/Female/Minority/Disability/Veterans. Supports a drug-free work environment.