Remote Ambulatory Physician Coder - Quality Specialist

Banner Health; Arizona; Hybrid; USD 40,000 - 66,000; Full time

Benefits offered by this job

Remote work options

Job summary

Banner Health seeks a Physician Coder Quality Associate for ambulatory coding accuracy in a fully remote role. 5 years of physician-based coding required; AHIMA/AAPC certification expected. Bachelor in HIMS or equivalent preferred.

This role reviews documentation to ensure proper MS-DRG/APC/ICD-10 assignments and guides denials prevention across the ambulatory setting. Responsibilities include audits, education on coding trends, and collaboration with clinical teams to improve documentation

Qualifications

• 5 years current experience in Ambulatory Physician-based coding.
• Thorough knowledge of ICD-10 and CPT coding principles.
• Bachelor's degree in Health Information Management (or equivalent).
• Active AHIMA/AAPC certification (CCS, CPC, CCS-P, RHIT or RHIA).

Responsibilities

• Provide coding guidance for non-standard billing and reference coding policies.
• Review medical records and audit documentation for accurate coding and reimbursement.
• Apply CMS, CPT, ICD-10, and NCCI guidelines to select diagnoses and procedures.
• Maintain coding consistency and educate staff on coding improvements.
• Partner with clinical and revenue teams to improve documentation and outcomes.
• Research discrepancies and generate reports for leadership on trends and gaps.
• Stay current on coding regulatory updates and implement changes.
• Assist in designing workflows affecting upstream and downstream revenue cycle.

Skills

Ambulatory coding

CPT ICD-10 knowledge

Certified coder

Education

Bachelor's degree in Health Information Management (HIMS)

Job description

Banner Health seeks a Physician Coder Quality Associate for ambulatory coding accuracy in a fully remote role. 5 years of physician-based coding required; AHIMA/AAPC certification expected. Bachelor in HIMS or equivalent preferred.

This role reviews documentation to ensure proper MS-DRG/APC/ICD-10 assignments and guides denials prevention across the ambulatory setting. Responsibilities include audits, education on coding trends, and collaboration with clinical teams to improve documentation