Physician-based Oncology Senior Complex Coder

Banner Health; Arnold (MD); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization located in Arnold, Maryland is seeking an experienced Hematology Oncology Physician Coder. This role involves coding a variety of accounts with a focus on Surgical Hematology & Oncology. Ideal candidates will have over 5 years of experience and be adept at working independently in a remote setting. The position offers a pay range of $26.82 - $40.22 per hour based on qualifications and experience.

Qualifications

• 5+ years of specialized coding experience in clinical specialty areas.
• Ability to work autonomously while maintaining high accountability.
• Must be able to work effectively in a remote setting.

Responsibilities

• Perform full range of complex professional coding in support of physician practices.
• Consult with medical providers to clarify missing record information.
• Provide quality assurance for medical records and ensure compliance.

Skills

Attention to detail

ICD and CPT coding knowledge

Critical thinking

Excellent organization skills

Education

High school diploma/GED

Associate's degree in healthcare

Certification as CPC, CCS, or similar

Job description

Overview

Department Name: Coding Ambulatory

Work Shift: Day

Job Category: Revenue Cycle

Estimated Pay Range: $26.82 - $40.22 / 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.

Are you an experienced Hematology Oncology Physician Coder looking for the opportunity to code a wide variety of accounts? Our ideal candidate would have 5+ years of coding experience in Surgical Hematology & Oncology and/or Radiology Oncology. This Senior Complex Coder will be supporting very busy providers/surgeons and is very heavy with E/M coding.

Anticipated Closing Window (actual close date may be sooner): 2026-01-01

Responsibilities

1. POSITION SUMMARY: This position performs full range of complex professional coding in support of specialty or multi-specialty physician practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance with nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and revisions. Participates and leads in training and onboarding of new staff. Participates and leads coding round table discussions.
2. CORE FUNCTIONS: 1) 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 thorough, timely and accurate coding in accordance to department specific productivity and quality standards. Codes ICD CM and CPT4 for accurate APC assignment. Addresses National Correct Coding Initiative (NCCI) edits as appropriate. Reconciliation of charges as required.
3. CORE FUNCTIONS: 2) Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. 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, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification/additional information for accurate code assignment.
4. CORE FUNCTIONS: 3) Provides 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, CMS, OIG and HCFA, as well as company and applicable professional standards.
5. CORE FUNCTIONS: 4) As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
6. CORE FUNCTIONS: 5) Able to identify validation edits and revision issues to ensure compliant coding.
7. CORE FUNCTIONS: 6) Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.
8. CORE FUNCTIONS: 7) Provides mentoring for less experienced staff members and acts as subject matter experts for complex coding. Will assist in onboarding of new coders to include but not limited to daily functions, system training, policies and procedures.
9. CORE FUNCTIONS: 8) Works independently with the ability to manage and prioritize work assignments. Uses specialized knowledge to ensure accurate assignment of ICD/CPT codes according to national guidelines. Ability to address complex coding matters independently with regard to correct interpretation of coding guidelines and LCDs 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 equivalent to the two year certification course 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 related health care field.
• Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Certification may also include a general area of specialty.
• Requires five or more years of specialized, complex professional coding experience for clinical specialty areas.
• Must demonstrate an elevated level of knowledge and understanding of ICD and CPT coding principles as recommended by the AHIMA coding competencies, and as required for the assigned practice areas.
• Requires the ability to work autonomously while maintaining a high level of accountability and quality performance outcomes. Must demonstrate excellent critical thinking and organization skills. Requires attention to detail.
• Must be able to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.

Preferred Qualifications

• Preferred Radiology Certified Coder (RCC) if employed in the Imaging space.
• Specialty coding certification.
• Additional related education and/or experience preferred.

EEO Statement: EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

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