Physician Practice Coder Oncology

Banner Health; Phoenix (AZ); On-site; USD 60,000 - 75,000; Full time

Job summary

Banner Health is seeking a remote Medical Coder for ambulatory coding. The ideal candidate will have 6 months of E/M coding experience, oncology preferred, and active AHIMA or AAPC certification. Remote role available to eligible states with Banner-provided equipment.

Responsibilities include coding diagnoses and procedures, abstracting data into EMR, and maintaining compliance with CMS and other regulations. Strong attention to detail and efficiency are essential.

Qualifications

• 6 months recent experience in E/M coding.
• Oncology experience preferred; other areas like General Surgery, GI, Urology are acceptable.
• Must be certified through AHIMA or AAPC; role requires more than CPC-A.
• Remote work allowed; must reside in eligible states; remote equipment provided.

Responsibilities

• Evaluate medical records and assign ICD/CPT codes per guidelines.
• Abstract diagnoses/procedures into EMR and seek missing information.
• Ensure compliance with coding rules for CMS, Medicaid and other regs.
• Compile daily/monthly reports as needed for analysis.
• Work independently with access to coding software and records.

Skills

Medical coding

E/M coding

Oncology experience

Certification requirement

Education

High school diploma or GED

Associate’s degree

Certified coder certifications (CPC/CCS/CCS-P/CCA/CPC-A/RHIA/RHIT)

Tools

Coding software

Job description

Primary City/State:

Phoenix, Arizona

Department Name:

Coding Ambulatory

Work Shift:

Day

Job Category:

Revenue Cycle

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.

This Coder will be supporting very busy providers/surgeons in our non-academic and academic arena. Ideal candidate would have 6 months of coding experience preferably in Oncology but someone with coding experience in the following areas can do well; ie. General Surgery, GI, Urology.

Location: REMOTE, Banner provides equipment

Schedule: Full time; Training 8am-5pm AZ time. Flexible scheduling after training completed.

Ideal Candidate:

• Minimum 6 months recent experience in E/M coding (clearly reflected in your attached resume);
• Oncology experience preferred;
• 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 role requires more than a CPC-A level certification.

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.

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

Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.

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.
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.
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, 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.
4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
5. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

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), Certified Coding Associate (CCA), Certified Professional Coder – Apprentice (CPC-A), 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.

Six months providing professional coding services or other related healthcare experience within a broad range of health care facilities.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification 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

Specialty Certification.

Additional related education and/or experience preferred.

EEO Statement:

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Our organization supports a drug-free work environment.

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EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability