Profee Medical Coder Complex Surgical Pediatric

Banner Health•Maricopa, AZ

5d•$26 - $39•Remote

About The Position

The Profee Medical Coder evaluates medical records and provides clinical and surgical abstraction for complex and/or multispecialty surgical, procedural, and E&M professional services, following nationally recognized coding guidelines. The role codes pediatric provider encounters, including complex charts and surgical procedures, and requires independent E/M coding. Production expectations vary by work type, with a stated minimum of 9 encounters per hour. The coder analyzes medical records, assigns diagnostic and procedural codes, abstracts clinical information into electronic medical records, and works with providers to clarify incomplete or inadequate documentation. The position also supports coding quality assurance, reimbursement compliance, validation edits, revisions, and department reporting. The role works independently under regular supervision and may seek guidance on coding guidelines and Local Coverage Determinations. This is a fully remote position available only to residents of the listed states: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, and WY. The schedule is an 8-hour shift worked flexibly between 5 a.m. and 7 p.m., Monday through Friday. Banner Health provides equipment for team communication.

Requirements

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; alternatively, an associate degree in a related health care field.
Active certification through AHIMA or AAPC as a CPC, CCS, CCS-P, RHIA, or RHIT; a general-area specialty certification may also qualify.
At least three years of complex professional coding experience within a specialty.
Knowledge and understanding of ICD and CPT coding principles consistent with AHIMA coding competencies and normally demonstrated by AAPC certification.
Ability to work effectively and efficiently in a remote setting using common office programs, coding software, and abstracting systems.
The posting also specifies three years of recent pediatric professional-fee E/M coding experience and notes that the role requires more than a CPC-A level certification.

Nice To Haves

Specialty experience.
Specialty certification.
Radiology Certified Coder (RCC) certification if employed in the Imaging space.
Experience in a large, multi-system physician practice.
Additional related education and/or experience.

Responsibilities

Analyze medical records and accurately code diagnostic and procedural information according to 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 while providing thorough, timely, and accurate coding.
Code ICD-CM and CPT-4 information for accurate APC assignment and address National Correct Coding Initiative edits as appropriate.
Reconcile charges as required.
Abstract clinical diagnoses, procedure codes, and other pertinent information from medical records into electronic medical records.
Seek missing information and create complete records, including disease and procedure codes, discharge disposition, surgery date, physician and surgeon details, anesthesiologists, and required signatures or authorizations.
Refer inconsistent treatment information or documentation to coding quality analysts, a supervisor, or the relevant department for clarification.
Assure medical-record coding compliance with applicable regulatory agency requirements, company standards, and professional standards.
Compile daily and monthly reports and tabulate medical-record data for research or analysis when assigned.
Identify validation edits and revision issues to support compliant coding.
Recognize complex diagnoses and procedures, make needed corrections, and ensure accurate coding, reimbursement, and compliance.