Facility Coding Outpatient Complex Coder

Banner Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking an Outpatient Complex Coder to join their Acute Care HIMS Coding Team. This fully remote position requires coding experience in acute care, with a focus on compliance and accuracy. Candidates should possess relevant certifications and have a strong understanding of coding principles. Flexible hours and a supportive work environment are offered.

Qualifications

• Two or more years of outpatient complex coding experience in an acute care setting.
• Demonstrated knowledge of ICD CM/PCS, CPT4 coding principles.
• Ability to work effectively remotely with standard office and coding software.

Responsibilities

• Accurately code diagnostic and procedural information following national guidelines.
• Extract clinical diagnoses and procedure codes for outpatient services.
• Ensure coding complies with regulations from CMS, OIG, and Banner policies.

Skills

ICD-10CM coding

ICD-10-PCS coding

CPT4 coding

Medical Record Analysis

Education

High school diploma/GED or equivalent

Associate's degree in a healthcare field

Active 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. Candidates should have complex coding experience in acute care, across 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 expectations are 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, combined with the Case Mix Index and case financial information, to meet Banner standards, which are currently more stringent than most national standards. Meeting Accounts Receivable goals supports Banner's financial objectives. You will be fully supported in training and throughout your career here!

This is a fully remote position and available to residents in the following states: 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 within any 8-hour window between 7am – 7pm, Monday - Friday, with productivity being the primary focus.

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

POSITION SUMMARY

This role involves coding and abstracting a full range of outpatient complex surgical and observation acute care services across all Banner hospitals, including high-acuity and trauma centers. Responsibilities include reviewing health records, assigning diagnosis and surgical procedure codes using ICD CM/PCS and CPT4 systems, and completing APC assignments as appropriate. Ensuring ethical and accurate coding in compliance with all regulatory standards is essential.

CORE FUNCTIONS

1. Medical Record Analysis: Accurately code diagnostic and procedural information, including modifiers, following national guidelines and reimbursement requirements. Clarify documentation with medical providers as needed. Ensure timely and precise coding, addressing NCCI edits and reconciling charges.
2. Abstracting: Extract clinical diagnoses, procedure codes, and relevant information, managing account status for missing documentation to complete coding and abstraction.
3. Compliance and Quality: Ensure coding complies with regulations from CMS, OIG, HCFA, and Banner policies, especially for high-acuity outpatient services.
4. Mentoring and Expertise: Provide guidance to less experienced staff and act as a subject matter expert for complex coding issues.
5. Work Supervision: Operate under general supervision, using expertise to interpret coding guidelines and resolve complex coding matters independently.

MINIMUM QUALIFICATIONS

- High school diploma/GED or equivalent with specialized training in medical records, anatomy, physiology, pathology, and medical terminology, or an Associate's degree in a healthcare field.

- Active certification such as CCS, COC, CPC, RHIT, RHIA, or similar from AHIMA or AAPC.

- Two or more years of outpatient complex coding experience in an acute care setting.

- Demonstrated knowledge of ICD CM/PCS, CPT4 coding principles.

- Ability to work effectively remotely with standard office and coding software.

PREFERRED QUALIFICATIONS

- Associate's degree or equivalent experience.

- Experience in large, multi-system healthcare organizations.

- Additional relevant education or experience.

Additional Information

Application deadline: 2025-09-18

EEO Statement: Banner Health is an Equal Opportunity Employer supporting a drug-free workplace. We consider all qualified applicants without regard to race, gender, disability, or veteran status.

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About Banner Health

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

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