Outpatient Complex Coder

Banner Health; Colorado; Ibrido; USD 38.000 - 57.000; Tempo pieno

Descrizione del lavoro

Banner Health is seeking an experienced Outpatient Complex Coder to join our remote team. This role handles coding for complex outpatient surgical and observation services across Banner facilities, requiring ICD-10-CM/PCS and CPT4 proficiency and active AHIMA/AAPC certification.

A minimum of two years in outpatient complex coding is expected. You will work from a remote setup (Colorado and other allowed states) with support from the Coding Education team, and may mentor junior staff while

Competenze

• High school diploma/GED or equivalent with trained medical record principles.
• Associate’s degree in health care or related field preferred.
• Active AHIMA or AAPC coding certification (CCS/COC/CPC/RHIT/RHIA or similar).
• Two+ years outpatient complex experience in acute care coding.

Mansioni

• Code outpatient complex surgical and observation cases using ICD- CM/PCS and CPT4.
• Abstract diagnoses and procedures to ensure accurate APC assignment.
• Ensure compliance with CMS, HCFA, OIG and state Medicaid rules.
• Mentor less experienced staff and advise on complex coding matters.
• Operate remotely using coding software and abstracting systems.

Conoscenze

ICD-10-CM/PCS knowledge

CPT coding

Remote work capability

Formazione

High school diploma or GED

Associate’s degree in health care field

Strumenti

AHIMA/AAPC certifications

Descrizione del lavoro

Outpatient Complex Coder### Outpatient Complex CoderApply: Remote: Remote Arizona: Remote Colorado: Full time: Posted Today: R4452900**Department Name:**Coding-Acute Care Hospital**Work Shift:**Day**Job Category:**Revenue CycleInnovation and highly trained staff. Banner Health recently earned Great Place To Work CertificationTM. 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 Looking for a motivated, experienced Outpatient, Acute Care, HIMS Complex Coder to join our talented Outpatient SDS Complex Facility-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. **Requirements:*** **2 years recent experience in Outpatient Facility-based coding of Same Day Surgery & Observation (clearly reflected in your attached resume)**;* Experienced in **ICD-10-PCS** & **ICD-10-CM** coding; as well as **CPT*** 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.)** Please note, this is a COMPLEX role, requiring more than CPC-A level experience.* **A Coding Assessment will be given after a successful interview to be completed within 48 hours.** Banner Health provides your equipment when hired**.** You will be fully supported in during initial training by both the Banner Coding Education team and your hiring manager, with continued support throughout your career here! *\\*\\* Don't quite meet the above requirements? Check out some of our other Coder positions!* The hours are flexible with the ability to work your 8-hour shift between 5am-7pm (Monday-Friday). 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, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY.**Banner Health the best place to work and receive care. 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 SUMMARYThis 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 FUNCTIONS1. 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.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. NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager. SUPERVISORY RESPONSIBILITIES DIRECTLY REPORTING None MATRIX OR INDIRECT REPORTING None TYPE OF SUPERVISORY RESPONSIBILITIES N/A Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner. PHYSICAL DEMANDS/ENVIRONMENT FACTORS OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager) Requires extensive sitting with periodic standing and walking. May be required to lift up to 20 pounds. Requires significant use of personal computer, phone and general office equipment. Needs adequate visual acuity, ability to grasp and handle objects. Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone. May require off-site travel.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.DATE APPROVED 06/09/2024**Estimated Pay Range:**$27.35 - $41.03 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.**Anticipated Closing Window (actual close date may be sooner):**2027-03-05