Facility Coding Outpatient Complex Coder

Banner Health; Olympia (WA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a motivated Facility Coding Outpatient Complex Coder to join their Acute Care HIMS Coding Team. This fully remote position requires expertise in outpatient complex coding, including ICD-10CM and ICD-10-PCS. Candidates should have significant experience in coding for general, orthopedic, and cardiac cases, ensuring accuracy and compliance with healthcare standards. Flexible working hours allow for a balance between personal and professional life within a supportive environment.

Qualifications

• Min 2 years of outpatient complex coding experience.
• Experience with ICD-10CM and ICD-10-PCS coding principles.
• Ability to work in a remote setting using coding software.

Responsibilities

• Analyzes medical information and accurately codes diagnostic and procedural information.
• Provides timely and accurate coding to meet department standards.
• Ensures compliance with coding guidelines and regulations.

Skills

ICD-10CM

ICD-10-PCS

CPT4

Education

Certified Coding Specialist (CCS)

Certified Outpatient Coder (COC)

Associate’s degree in a health care field

Job description

Facility Coding Outpatient Complex Coder

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

Facility Coding Outpatient Complex Coder

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

Estimated Pay Range:

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

Department Name:

Coding-Acute Care Hospital

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.

Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.

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.

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

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

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

2025-09-26

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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