[Hiring] Complex Surgery Coder @Banner Health

Role Description

Looking for a motivated, experienced Podiatry Surgery Complex Coder to join our talented team. The ideal candidate will have at least 3 years of experience in Complex Surgery and E/M Coding. Podiatry and/or Ortho Surgery is highly preferred. This is a fully remote position and available if you live in the following states only: AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MI, MN, MO, MS, NC, NH, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV & WY. The hours are flexible as we have remote coders across the nation. Generally, any 8-hour period between 5am – 7pm can work, with production being the greatest emphasis.

This position evaluates medical records, provides clinical and surgical abstraction for a full range of complex and/or multispecialty surgical, procedural and E&M professional services in accordance with nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and/or revisions.

Core Functions

• Analyzes medical information from medical records. 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. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies.
• As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
• Able to identify 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.
• Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines.

Qualifications

• 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.
• Requires at least one of the following:
  • Certified Professional Coder (CPC)
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist – Physician (CCS-P)
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
• Requires three or more years of complex professional coding experience within specialty.
• Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies.
• Must be able to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.

Preferred Qualifications

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

Estimated Pay Range

$25.54 - $38.30 / hour. Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package.

EEO Statement

EEO/Disabled/Veterans. Our organization supports a drug-free work environment.