Inpatient Facility HIMS Complex Coder

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

Job summary

A leading healthcare provider is seeking an experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder. This full-time remote position involves coding various service lines and requires certification in coding. Ideal candidates should have a minimum of three years' inpatient coding experience and proficiency in ICD-10-PCS and ICD-10-CPT coding. The role demands strong analytical skills and the ability to work effectively from home. Flexible scheduling options after training will be available.

Benefits

Flexible scheduling

Work-from-home opportunity

Health benefits

Qualifications

• 3 years recent experience in Inpatient Facility-based coding.
• Current certification through AAPC or Ahima is required.
• Knowledge of ICD CM and PCS coding principles.

Responsibilities

• Provide coding and abstracting for acute care services.
• Analyze medical information from medical records.
• Ensure compliance with coding rules and regulations.

Skills

ICD-10-PCS coding

ICD-10-CPT coding

Analytical skills

Remote work proficiency

Education

High school diploma or GED

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Registered Health Information Technologist (RHIT)

Job description

Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience.

Department Name: Coding-Acute Care Hospital

Work Shift: Day

Job Category: Revenue Cycle

Pay Transparency: In accordance with State Pay Transparency Rules.

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Position Overview

Looking for a motivated, experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more. This is a facility‑based coding position requiring strong PCS coding experience as well as ability to code wide range of complex charts.

Remote. Equipment provided. Must have high speed internet and ability to hardwire into internet.

Schedule

Full time. Flexible scheduling after completion of training period. 8hr shifts between 5am-7pm Mon-Fri preferred.

Requirements

• 3 years recent experience in Inpatient Facility‑based coding (clearly reflected in your attached resume);
• Experienced in ICD-10-PCS & ICD-10-CPT coding;
• Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. (Please upload a copy or provide certification number in your questionnaire.)
• A Coding Assessment will be given after a successful interview to be completed within 48 hours. *Banner does not supply coding books or access to an encoder
• This position is for facility‑based inpatient coding. Interested in Outpatient and/or Physician coding? Check some of our other Coder positions!

This is a fully remote position and available if you live in the following states only: AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MI, MN, MO, MS, NC, NH, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV & WY.

Position Summary

Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and codes and abstracts diagnoses and/or procedures on inpatient records using ICD CM and PCS coding classification systems. Completes MS-DRG and APR-DRG assignments on inpatient records as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding.

Core Functions

• Analyzes medical information from medical records. Accurately codes diagnostic and procedural information 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 timely and accurate coding in accordance to department specific productivity and quality standards thorough assignment of ICD CM and PCS codes, MS-DRGs, APR-DRGs and POAs for mid-tiered complexity range of acute care services at all Banner hospitals.
• Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the patient encounter. Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists. Refers inconsistent patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code assignment.
• Provides coding quality assurance for medical records. For all assigned records and/or areas assures 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 company and applicable professional standards. Ability to address related and complex matters independently with regard to interpretation of coding guidelines.
• May provide mentoring for less experienced staff members.
• Works under general supervision using specialized expertise in the subject matter. Works within a set of defined rules. Ability to address related and complex matters independently with regard to interpretation of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

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 certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).

Requires a proficiency and expertise level as typically obtained by three or more years of inpatient coding experience in Acute Care inpatient facility or healthcare system; or any combination of education and experience to successfully achieve skill proficiency for complex inpatient work.

Must demonstrate a level of knowledge and understanding of ICD CM and PCS coding principles as recommended by the American Health Information Management Association coding competencies.

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.

EEO Statement

EEO/Disabled/Veterans

Our organization supports a drug‑free work environment.

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