Profee Coder GI Trauma Surgery

Banner Health Corporate; Phoenix (AZ); Hybrid; USD 48,000 - 72,000; Full time

Job summary

Banner Health Corporate is seeking a Trauma, GI, and General Surgery Physician Coder for a fully remote role. You will code E&M, surgeries, and critical care, with emphasis on Trauma, GI, and General Surgery coding.

Requires at least 1 year of General Surgery coding and active CPC/CCS/CCS-P/CCA/CPC-A/RHIA/RHIT certification; work eligible in listed states. Ideal candidates may hold specialty certifications; you will work with coding software and abstracting systems in a remote setting.

Qualifications

• High school diploma or equivalent with formal training in medical record keeping or an associated health care degree.
• Active certification: CPC/CCS/CCS-P/CCA/CPC-A/RHIA/RHIT with AHIMA/AAPC.

Responsibilities

• Analyzes medical information and accurately codes diagnoses and procedures.
• Abstracts diagnoses and codes; compiles complete records with signatures/authorizations.
• Provides QA for medical records; ensures compliance with coding rules and CMS/OIG/HCFA standards.
• Compiles daily/monthly reports and tabulates data from medical records.
• Assigns ICD/CPT codes per national guidelines; seeks clarification when needed.

Education

High school diploma/GED or equivalent; Associate’s degree in a related health care field

CPC, CCS, CCS-P, CCA, CPC-A, RHIA, or RHIT (active with AHIMA or AAPC)

Job description

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle 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.

Looking for a motivated, experienced Trauma, GI, and/or Surgery Physician Coder to join our talented team. This position covers Trauma, Gastro and General Surgery. The ideal candidate will have at least 1 year of experience in General Surgical Coding. This position focuses on E&M (including split shared), surgeries and Critical Care coding.

Location: REMOTE, Banner provides equipment Schedule: Full time; Flexible scheduling after training completed

Ideal Candidates: Minimum 1 year recent experience in Gen Surg, Trauma, and/or GI coding (clearly reflected in your attached resume); Experience with split shared EM coding a plus, as well as experience with Trauma (academic); Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below.

Please note, this is a Trauma and Surgical role, requiring 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.

Estimated Pay Range: $23.16 - $34.74 / hour Banner 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.

EEO Statement: EEO/Disabled/Veterans Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit‑eligible positions. Please visit our Benefits Guide for more information.