Facility Coding Outpatient Complex Coder

Banner Health; Madison (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

Banner Health is seeking a motivated Outpatient Complex Coder to join their Acute Care HIMS Coding Team. This fully remote position requires complex coding experience in acute care, with responsibilities including analyzing medical records and ensuring compliance with coding standards. The ideal candidate will have relevant certifications and a strong background in outpatient coding.

Qualifications

• Minimum 2 years of outpatient complex coding experience in acute care.
• Knowledge of ICD CM/PCS and CPT4 coding principles.
• Ability to work effectively remotely.

Responsibilities

• Analyze medical records and accurately code diagnoses and procedures.
• Ensure compliance with coding regulations and standards.
• May mentor less experienced staff.

Skills

ICD-10CM coding

ICD-10-PCS coding

CPT4 coding

Education

High school diploma/GED or equivalent

Associate's degree in healthcare field

Certification such as CCS, COC, CPC, RHIT, 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.

We are seeking a motivated, experienced Outpatient | Acute Care | HIMS Complex Coder to join our talented Acute Care HIMS Coding Team. The ideal candidate will have complex coding experience in acute care across various service lines, including but not limited to: General, Orthopedic, Urology/Gynecology, Cardiac, Spinal, etc. Must possess ICD-10CM and ICD-10-PCS coding experience.

Our outpatient coding expectations are 1-2 charts per hour with an accuracy rate of 95% or higher. We utilize account-specific data, Case Mix Index, and case financial information to meet Banner standards, which are more stringent than many national standards. Meeting Accounts Receivable goals supports Banner's financial objectives. Full training and ongoing support are provided.

This is a fully remote position, available to residents 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.

Work hours are flexible, typically within any 8-hour window between 7 am – 7 pm, Monday through Friday, with productivity being the primary focus.

A Coding Assessment will be administered within 48 hours after a successful interview.

Position Summary:

This role involves coding and abstracting outpatient complex surgical and observation acute care services across all Banner hospitals, including high-acuity facilities. Responsibilities include reviewing health records, assigning diagnostic and procedural codes using ICD CM/PCS and CPT4, completing APC assignments, and ensuring compliance with all regulatory and professional coding standards.

Core Functions:

1. Analyze medical records and accurately code diagnoses and procedures, including modifiers, adhering to national guidelines and reimbursement requirements. Collaborate with providers for clarification and address NCCI edits as needed.
2. Abstract clinical diagnoses, procedure codes, and pertinent information, managing account statuses to ensure complete documentation and accurate coding.
3. Ensure compliance with all coding regulations, including those from CMS, OIG, HCFA, and Banner policies, especially for high-complexity outpatient services.
4. May mentor less experienced staff and serve as a subject matter expert for complex coding issues.
5. Work independently within set rules, addressing complex coding matters related to guidelines, edits, and coverage determinations.

Minimum Qualifications:

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

Preferred Qualifications:

• Associate degree or equivalent experience.
• Experience in large, multi-system healthcare organizations.
• Additional education or experience related to healthcare coding.

Application Deadline: 2025-09-18

EEO Statement: EEO/Female/Minority/Disability/Veterans. Our organization supports a drug-free work environment.

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About Banner Health

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

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