Primary City/State:
Colorado, Colorado
Department Name:
Revenue Integrity-Corp
Work Shift:
Day
Job Category:
Revenue Cycle
Primary Location Salary Range:
$26.40 - $44.00 / hour, based on education & experience
In accordance with State Pay Transparency Rules.
A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.
Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement.
The Senior Cardiology and Interventional Radiology Certified Coder's main job responsibilities will include abstracting information from complex cardiology operative reports and appending CPT/CDM numbers and supplies into our charge system. The Cardiac Cath/ Interventional Radiology departments overall function is to ensure all required elements for coding and billing are dictated and accurately charged. To promote work life balance, we offer a flexible work schedule to give employees the chance to fit other commitments and activities into their life.
Monday - Friday 40 hrs. weekly between 5:00 a.m. - 7 p.m. AZ Time
This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV, WY
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSTION SUMMARY
This position evaluates medical records and assigns appropriate clinical procedure/anesthesia charges and supply charges in accordance with nationally recognized coding guidelines for technical Cardiology and Interventional Radiology services.
CORE FUNCTIONS
1. Analyzes medical information from medical records. Accurately charge procedural and supply 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 assignments of charges – using Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, Ambulatory Payment Classification (APC), and reconciliation of charges.
2. Seeks out missing information and creates complete records, including items such as assigning procedure codes/charges, anesthesia codes/charges, supply codes/charges, and date of surgery. Refers inconsistent patient treatment information/documentation to 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. Work all assigned billing edits related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture Audit (CCA).
5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of CPT/HCPCS codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).
MINIMUM QUALIFICATIONS
Associate's degree or technical degree or equivalent working knowledge.
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, and as normally demonstrated by certification by the American Academy of Professional Coders. Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Interventional Radiology Cardiovascular Coder (CIRCC) in an active status is required. Certification may also include a general area of specialty.
Must be able to work effectively with common office software and coding software and abstracting systems.
PREFERRED QUALIFICATIONS
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.
Additional related education and/or experience preferred.
Anticipated Closing Window (actual close date may be sooner):
2025-03-12
EEO Statement:
EEO/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
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