Profee Coder Academic General Med

Banner Health•Surprise, AZ

3d•$24 - $35•Remote

About The Position

The Profee Coder evaluates medical records, performs clinical and surgical abstraction, and assigns diagnosis and procedure codes according to nationally recognized coding guidelines and reimbursement requirements. The role involves high-volume coding for academic facilities, including resident documentation, substantial E/M coding, and inpatient visits that may involve split billing. The coder works independently under regular supervision and uses specialized knowledge to ensure accurate coding and complete medical records.

Requirements

High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to a two-year certification course in medical record keeping and related subjects, or an associate degree in a related health care field.
Active status in at least one of the following certifications through AHIMA or AAPC: CPC, CCS, CCS-P, CCA, CPC-A, RHIA, or RHIT; certification may include a general specialty.
At least six months of professional coding services or related healthcare experience.
Knowledge and understanding of ICD and CPT coding principles consistent with AHIMA coding competencies and AAPC certification standards.
Ability to work effectively and efficiently remotely using common office programs, coding software, and abstracting systems.
At least one year of recent E/M Academic General Med coding experience, including experience with residents.
At least six months of production coding experience.

Nice To Haves

Specialty certification.
Additional related education and/or experience.

Responsibilities

Analyze medical records and accurately code diagnostic and procedural information in accordance with national coding guidelines and reimbursement requirements.
Consult with medical providers to clarify missing or inadequate documentation and determine appropriate diagnosis and procedure codes.
Meet department-specific productivity and quality standards for thorough, timely, and accurate coding.
Code ICD-CM and CPT-4 information for accurate APC assignment and address NCCI edits as appropriate.
Reconcile charges as required.
Abstract diagnoses, procedure codes, and other pertinent information into electronic medical records.
Seek missing information and complete records, including disease and procedure codes, discharge disposition, surgery date, physicians, and required signatures or authorizations.
Refer inconsistent treatment information or documentation for clarification to coding quality analysts, supervisors, or relevant departments.
Provide quality assurance for medical records and ensure compliance with applicable regulatory, company, and professional coding standards.
Compile daily and monthly reports and tabulate medical-record data for research or analysis as assigned.
Seek guidance when needed to interpret coding guidelines and Local Coverage Determinations.