Facility Coding Outpatient Complex Coder

Banner Health; Hudson (IA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health system is seeking a Facility Coding Outpatient Complex Coder to join their Acute Care HIMS Coding Team. This fully remote position requires complex coding experience in various service lines and offers flexible hours. Candidates must have relevant certifications and coding experience, ensuring ethical and accurate coding in accordance with regulatory requirements.

Qualifications

• Requires two or more years of outpatient complex experience in an acute care inpatient facility.
• Must demonstrate knowledge of ICD CM/PCS, CPT4 coding principles.
• Ability to work effectively in a remote setting.

Responsibilities

• Analyzes medical information and accurately codes diagnostic and procedural information.
• Abstracts clinical diagnoses and procedure codes from patient encounters.
• Ensures compliance with coding rules and regulations.

Skills

ICD-10CM

ICD-10-PCS

CPT4

Education

High school diploma/GED or equivalent

Associate's degree in a health care field

Certified Coding Specialist (CCS)

Certified Outpatient Coder (COC)

Certified Professional Coder (CPC)

Registered Health Information Technologist (RHIT)

Registered Health Information Administration (RHIA)

Job description

Facility Coding Outpatient Complex Coder

Department Name:

Work Shift:

Day

Job Category:

Revenue Cycle

Estimated Pay Range:

$25.54 - $38.30 / hour, based on location, education, & experience.

In accordance with State Pay Transparency Rules.

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities – you belong at Banner Health.

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. This includes highest level of complexity of accounts encountered in Banner's Academic, Trauma and high acuity facilities. 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. Completes APC assignment on outpatient complex records as appropriate. 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 National Correct Coding Initiative (NCCI) edits as appropriate. Reconciliation of charges as required.

2. Abstracts clinical diagnoses, procedure codes and other pertinent information obtained from the patient encounter. Place 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, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as Banner specific policy and procedures and applicable professional standards for a full range of outpatient complex surgical and observation acute care services at all Banner hospitals. This includes highest level of complexity of accounts encountered in Banner's Academic, Trauma and high acuity facilities.

4. May provide mentoring for less experienced staff members. May act as a subject matter expert for complex coding.

5. Works under general supervision using specialized expertise in the subject matter. Works within a set of defined rules. Ability to address complex coding matters independently with regard to interpretation of coding guidelines, NCCI edits, and LCDs (Local Coverage Determinations) prior to referral to coding analyst, coding educator, or coding manager/supervisor.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge and specialized formal training 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 health care field.

Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other appropriate coding certificaion in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).

Requires two or more years of outpatient complex experience in an acute care inpatient facility or healthcare system.

Must demonstrate a level of knowledge and understanding of ICD CM/PCS, CPT4 coding principles and coding competencies as demonstrated by certification through the American Health Information Management Association or 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

Associates degree in a job-related field or experience equivalent to same.

Previous experience in large, multi-system healthcare organization.

Additional related education and/or experience preferred.

Anticipated Closing Window (actual close date may be sooner):

2025-09-18

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy

About the company

Banner Health is a non-profit health system in the United States, based in Phoenix, Arizona.

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