Senior Coder Complex Phys Pract Radiology EMs

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Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including this 100% remote position. Apply today.

We are looking for a motivated, experienced Physician Complex Coder with ideally 5 years of Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history .

This person will cover our Radiology group within banner and will be coding for

Interventional Radiology Embolization's and liver biopsy.

Our leaders and coders work in a remote environment. Even though we work remotely we have a lot of resources at our fingertips and many people we can reach out to for support.  We offer schedule flexibility with great benefits. Lots of internal growth opportunities. Our Leadership team is diverse in skill sets and our focus is on teamwork.  Come bring your talents to our team where we can learn from each other.

In most of our Coding roles, there is a Coding Assessment given after each successful interview. Banner Health provides your equipment when hired.

You will be fully supported in training for 1 month+, according to individual needs, with continued support throughout your career here!

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, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY.

The hours are flexible as we have remote Coders across the Nation. Generally, any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis

POSITION SUMMARY
This position performs full range of complex professional coding in support of specialty or multi-specialty physician practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance with nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and revisions. Participates and leads in training and onboarding of new staff. Participates and leads coding round table discussions.

CORE FUNCTIONS
1. 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.

2. 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.

3. Provides quality assurance for medical records. For all assigned records and/or areas assures 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.

4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

5. Able to identify validation edits and revision issues to ensure compliant coding.

6. Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.

7. Provides mentoring for less experienced staff members and act as subject matter experts for complex coding. Will assist in onboarding of new coders to include but not limited to daily functions, system training, policies and procedures.

8. 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. Ability to address 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.


MINIMUM 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), 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.

Requires five or more years of specialized, complex professional coding experience for clinical specialty areas.

Must demonstrate 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.

Requires the ability to work autonomously while maintaining a high level of accountability and quality performance outcomes. Must demonstrate excellent critical thinking and organization skills. Requires attention to detail.

Must be able to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.

PREFERRED QUALIFICATIONS

Preferred Radiology Certified Coder (RCC) if employed in the Imaging space.

Specialty coding certification.

Additional related education and/or experience preferred.

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EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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