Facility Coder Outpatient

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A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.

Looking for a motivated, experienced Outpatient | Acute Care | OP Coder - Remote | Medical Coder, with CPC or CCS and/or RHIT or RHIA Certifications, to join our talented Acute Care HIMS Coding Team.

Required Experience

• Coding ED and/or OP Diagnostics.   
• Must have ICD-10CM and CPT experience. 
• 6-months experience in an acute (hospital) setting.
• Must live in one of the following states:  AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY.

Preferred Experience

• ICD-10-PCS coding experience.  
• Two plus years of coding experience in an acute (hospital) setting. 
• Remote work experience.

After the Interview

• A Coding Assessment is required after each interview.
• Banner Health provides equipment if hired.
• Onboarding takes place with an education team & leader.
• Work hours and days are flexible; however, schedules are typically 8-hour days/5 days a week. 

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.

POSITION SUMMARY

This position provides coding and abstracting for lower complexity hospital outpatient range of services including Emergency Room, Diagnostic, Recurring encounters as well as lower complexity outpatient surgeries and observation accounts encounters at all Banner hospitals. Assigns diagnoses and/or surgical procedure codes on outpatient records using ICD CM/PCS and CPT4 coding classification systems. Completes APC assignment on outpatient records as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and nationally recognized coding guidelines.

CORE FUNCTIONS

1. Analyzes medical information from medical records. Accurately codes diagnostic and procedural information, including modifiers, 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/PCS 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 other pertinent information obtained from the patient encounter. Place account in the appropriate status for required missing documentation to complete assignment of disease and procedure codes, and any pertinent abstract elements.

3. Provides quality coding by ensuring 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 Banner specific policy and procedures and applicable professional standards for lower complexity hospital outpatient range of services including Emergency Room, Diagnostic, Recurring encounters as well as lower complexity outpatient surgeries and observation accounts at all Banner hospitals.

4. Works under general supervision using specialized knowledge for accurate assignment of ICD-CM/PCS and CPT4 codes according to national guidelines. Works within a set of defined rules. Ability to address lower complex coding matters independently with regard to interpretation of coding guidelines, NCCI edits, 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 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 health care field.

Requires Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other appropriate coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).

Requires six months of outpatient coding experience in an acute care inpatient facility or healthcare system.

Must demonstrate a level of knowledge and understanding of ICD CM/PCS, CPT4 coding principles and coding competencies as demonstrated by certification through the American Health Information Management Association or by the American Academy of Professional Coders.

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

PREFERRED QUALIFICATIONS

Associates degree in a job-related field or experience equivalent to same.

Previous experience in large, multi-system healthcare organization.

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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