Profee Coder Academic General Med

Banner Health•Tucson, AZ

4d•$23 - $35•Remote

About The Position

Banner Health is seeking a motivated, experienced Profee Coder with at least 1 year of Academic General Med with Inpatient physician coding experience to join their talented team. This role involves high-volume coding for academic facilities, including residents, heavy EM coding, and inpatient visits that may involve split billing. Banner Health has been recognized as a Great Place To Work® Certified™. This is a fully remote position available to residents in specific states. Within Banner Health Corporate, employees have the opportunity to apply their unique experience and expertise in support of a nationally-recognized healthcare leader, with stimulating and rewarding careers available in a wide array of disciplines.

Requirements

Minimum 1 year recent experience in E/M Academic General Med coding including experience with Residents (clearly reflected in resume).
Currently certified through AAPC or Ahima, as defined in minimum qualifications below.
At least 6 months of production coding experience.
High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to a 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.
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).
Demonstrates 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.

Nice To Haves

Specialty Certification.
Additional related education and/or experience preferred.

Responsibilities

Analyzes medical information from medical records and 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 with department-specific productivity and quality standards.
Codes ICD CM and CPT4 for accurate APC assignment and addresses National Correct Coding Initiative (NCCI) edits as appropriate.
Reconciles charges as required.
Abstracts clinical diagnoses, procedure codes, and other pertinent information 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, anesthesiologists, and appropriate signatures/authorizations.
Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisors, or individual departments for clarification/additional information for accurate code assignment.
Provides quality assurance for medical records, ensuring 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.
Compiles daily and monthly reports and tabulates data from medical records for research or analysis purposes as assigned.
Works independently under regular supervision, using 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).