Profee Senior Coder Surgical Cardiology

Banner Health•Mesa, AZ

3d•$26 - $44•Remote

About The Position

Banner Health is seeking a motivated, experienced Profee Coder | Physician Practice Senior Coder with 5+ years of Cardiology Complex Coding experience (ideally Surgical Cardiology) to join their talented team. This position requires a Certified Professional Coder (CPC) in active status (more than an apprentice CPC-A) with a recent/consistent coding work history of 3 years or more. This is a fully remote position available to residents in specific states. The role involves performing a full range of complex professional coding by evaluating medical records, validating appropriate clinical diagnosis and procedure codes, and ensuring compliance with nationally recognized coding guidelines. The position also supports department projects, validation edits, revisions, and leads in training and onboarding of new staff, as well as participating in coding round table discussions.

Requirements

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.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), 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). Certification may also include a general area of specialty.
Five or more years of specialized, complex professional coding experience for clinical specialty areas.
Demonstrates an elevated level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as required for the assigned practice areas.
Ability to work autonomously while maintaining a high level of accountability and quality performance outcomes.
Excellent critical thinking and organization skills.
Attention to detail.
Ability to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.
5 years recent experience in Surgical Cardiology Profee EM coding (clearly reflected in your attached resume).
Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. Please note, this is a COMPLEX role, requiring more than a CPC-A level certification.

Nice To Haves

Specialty Cardiology coding experience preferred.
Preferred Radiology Certified Coder (RCC) if employed in the Imaging space.
Specialty coding 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 to department specific productivity and quality standards.
Codes ICD CM and CPT4 for accurate APC assignment.
Addresses National Correct Coding Initiative (NCCI) edits as appropriate.
Reconciliation of charges as required.
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, 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 analysts, supervisor or individual department for clarification/additional information for accurate code assignment.
Provides quality assurance for medical records, assuring 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; tabulates data from medical records for research or analysis purposes.
Identifies validation edits and revision issues to ensure compliant coding.
Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.
Provides mentoring for less experienced staff members and acts as subject matter experts for complex coding.
Assists in onboarding of new coders to include but not limited to daily functions, system training, policies and procedures.
Works independently with the ability to manage and prioritize work assignments.
Uses specialized knowledge to ensure accurate assignment of ICD/CPT codes according to national guidelines.
Addresses complex coding matters independently with regard to correct interpretation of coding guidelines and LCDs (Local Coverage Determinations) prior to referral to coding analyst, coding educator or coding manager/supervisor.