Primary City/State:

Phoenix, Arizona

Department Name:

Coding-Acute Care Hospital

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$21.20/hr - $31.81/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Are you a superstar coder looking for the opportunity to code a wide variety of accounts? Do you have Acute Care Coding Same Day Surgeries (multiple specialties) experience? Consider joining our Acute Care Coding team at Banner Health. You will have the remarkable opportunity to work remotely and still be part of an engaged team who works hard every day to make healthcare easier, so life can be better for the patients we care for at more than 25 facilities across multiple states. This 100% remote position can be done from the following States: AR, AZ, CA, CO, FL, IA, MO, ND, NE, NV, TX, UT, WA, WI & WY (only if you live in these States). 

Good health care is key to a good life. At Banner Health, we understand that, and that's why we work hard every day to make a difference in people's lives. We've united under a common goal: Make health care easier, so life can be better. It's a lofty goal, but it's one we're committed to seeing through. Do you like the idea of making a positive change in people's lives - and your own? If so, this could be the perfect opportunity for you. Apply today. 
 

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 evaluates medical records, provides clinical abstracts 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 assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

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, point of origin code, 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 analysis, 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 and MS-DRG 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.

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. Six months providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must have experience coding Acute Care Coding Same Day Surgeries (multiple specialties) and Observation visits,  solid CPT skills in a variety of encounters/surgery types, working knowledge of PCS coding fundamentals, and experience addressing NCCI edits and applying appropriate modifiers.

Required years of (minimum) experience:
-    HIMS coder: 6 months
-    Sr. HIMS coder: 3 years

Must be able to work effectively with common office software and coding software and abstracting systems.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) in an active status or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.