Profee Senior Coder Surgical Cardiology

Banner Health; Northern (KY); Hybrid; USD 36,000 - 61,000; Full time

Job summary

Banner Health is seeking a motivated Profee Coder for Physician Practice to join our remote team. This senior coder role requires 5+ years of Cardiology Complex Coding experience and active CPC/CCS/CCS-P/RHIA/RHIT certification.

The position supports multi-specialty physician practices, emphasizes accuracy and regulatory compliance, and offers flexible scheduling after training. Remote work is available in designated states.

Qualifications

• Active CPC/CCS/CCS-P/RHIA/RHIT certification required.
• Five+ years of specialized, complex coding experience in clinical cardiology.
• Must be able to work remotely with proficiency in coding guidelines and LCDs.

Responsibilities

• Code complex professional CPT/ICD coding for multi-specialty physician practices.
• Mentor and onboard less experienced coders.
• Ensure compliance with CMS, NCCI edits, and regulatory standards.
• Prepare daily/monthly reports as assigned.

Skills

Cardiology Coding

Remote Work

Communication

Education

CPC / CCS / CCS-P / RHIA / RHIT (active)

Tools

Coding software

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. We are looking for a motivated, experienced Profee Coder | Physician Practice Senior Coder with 5+ years of Cardiology Complex Coding experience (ideally Surgical Cardiology) to join our talented team.

This position does require Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent/consistent coding work history of 3 years or more.

Location: REMOTE, Banner provides equipment Schedule: Full time; Flexible scheduling after training completed Ideal Candidates: 5 years recent experience in Surgical Cardiology Profee EM coding (clearly reflected in your attached resume); Specialty Cardiology coding 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 is a COMPLEX role, requiring more than a CPC-A level certification.

** Don't quite meet the above requirements? Check out some of our other Coder positions! 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. The hours are flexible with the ability to work your 8-hour shift between 4am-7pm (Monday-Friday).

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

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.

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. Able to identify validation edits and revision issues to ensure compliant coding.
6. Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.
7. Provides mentoring for less experienced staff members and act 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.
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 (Local Coverage Determinations) 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 American Health Information Management Association 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.

Estimated Pay Range: $26.40 - $44.00 / 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.

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