Outpatient Complex Coder

Banner Health • Colorado Springs, CO

3d • $27 - $41 • Remote

About The Position

The Outpatient Complex Coder provides coding and abstracting for a full range of outpatient complex surgical and observation acute care services at Banner hospitals, including highly complex accounts at academic, trauma, and high-acuity facilities. The role reviews health record documentation and assigns diagnoses and surgical procedure codes using ICD-10-CM/PCS and CPT-4, completes APC assignments when appropriate, and ensures ethical, accurate coding in accordance with regulatory requirements and nationally recognized coding guidelines.

The position analyzes medical records, assigns diagnostic and procedural codes including modifiers, addresses NCCI edits, reconciles charges as required, and consults providers to clarify missing or inadequate documentation. It abstracts diagnoses, procedure codes, and other pertinent encounter information, placing accounts in the appropriate status when documentation is needed. The coder works under general supervision and independently handles complex coding matters before referring issues to coding analysts, educators, or managers. The role may mentor less experienced staff or serve as a subject matter expert.

This is a fully remote position, available only to candidates living in the listed states. Banner provides equipment and support during initial training and throughout employment. The work schedule is flexible, with an eight-hour shift scheduled between 5 a.m. and 7 p.m., Monday through Friday.

Requirements

• At least two years of recent outpatient facility-based coding experience with Same Day Surgery and Observation, clearly reflected in the resume.
• Two or more years of outpatient complex experience in an acute care inpatient facility or healthcare system.
• Experience coding ICD-10-CM/PCS and CPT-4.
• Active coding certification through AHIMA or AAPC, such as CCS, COC, CPC, RHIT, RHIA, or another appropriate coding certification.
• Demonstrated knowledge of ICD-10-CM/PCS and CPT-4 coding principles and competencies.
• Ability to work effectively and efficiently in a remote setting using common office programs, coding software, and abstracting systems.
• High school diploma/GED or equivalent working knowledge and specialized formal training in medical record keeping, anatomy, physiology, pathology, medical terminology, standard nomenclature, and diagnosis and operation classification; alternatively, an associate degree in a healthcare field.
• Ability to complete a coding assessment within 48 hours after a successful interview.
• Ability to work an eight-hour shift between 5 a.m. and 7 p.m., Monday through Friday.

Nice To Haves

• Associate degree in a job-related field or experience equivalent to the same.
• Previous experience in a large, multi-system healthcare organization.
• Additional related education and/or experience.

Responsibilities

• Analyze medical record information and accurately code diagnostic and procedural information, including modifiers, in accordance with national coding guidelines and reimbursement requirements.
• Consult with medical providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes.
• Meet department-specific productivity and quality standards by providing thorough, timely, and accurate coding.
• Code ICD-10-CM/PCS and CPT-4 information for accurate APC assignment and address NCCI edits as appropriate.
• Reconcile charges as required.
• Abstract clinical diagnoses, procedure codes, and other pertinent information from patient encounters.
• Place accounts in the appropriate status when documentation is needed to complete code assignment or other abstract elements.
• Ensure compliance with applicable regulatory requirements, coding rules, Banner policies and procedures, and professional standards.
• Independently address complex coding matters involving coding guidelines, NCCI edits, and Local Coverage Determinations before referring issues to the appropriate coding resource.
• May mentor less experienced staff members or act as a subject matter expert for complex coding.

Benefits

• Banner-provided equipment for the remote position.
• Initial training support from the Banner Coding Education team and hiring manager, with continued support throughout employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED