Senior Coder HIMS – Remote – Banner Health – Bismarck, ND

Primary City/State:

Phoenix, Arizona

Department Name:

Coding-Acute Care Hospital

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr – $35.06/hr, based on education & experience

In accordance with Colorado’s EPEWA Equal Pay Transparency Rules.

Your Journey with us began the moment you made the choice to seek a career with Banner Health. Whether you are just beginning your career or your Journey has spanned 30 years, Banner’s employer commitment is: “We’ll help make a difference in your life and career so you can make a difference in the lives of others.”

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.

POSITION SUMMARY
This position provides coding and abstracting services for the full range of hospital services and/or complex specialty practice areas. Reviews diagnosis and diagnostic information and codes and abstracts diagnoses and/or surgical procedures on all inpatient, outpatient and emergency room records using ICD CM and CPT 4 coding classification systems. Completes DRG and APC assignments on inpatient or outpatient record as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding.

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 assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

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, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information or documentation to coding quality analysis, 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. Acts as a knowledge resource to clinical staff in billing code matters. May provide leadership and training for less experienced staff members.

6. Works under general supervision using specialized expertise in the subject matter. Works within a set of defined rules. Refers complex matters to supervisor, lead, or Coding Quality Analyst for interpretation of coding guidelines and LCDs (Local Coverage Determinations) for accurate assignment of codes according to guidelines.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

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 Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).

Must demonstrate a level of knowledge and understanding of ICD and/or 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. Requires three or more years of experience providing coding services for a broad range of hospital and acute 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.

Must be able to work effectively with common office software and coding software and abstracting systems.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.