Estimated Pay Range
$25.54 - $38.30 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules.
Department & Position Overview
Department Name: Coding Ambulatory
Work Shift: Day
Job Category: Revenue Cycle
Position Title: Orthopedic Physician Complex Coder
Location: Remote (Banner provides equipment)
Schedule: Full time; flexible scheduling after training completed
Company Overview
Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.
Ideal Candidates
Minimum 3 years recent experience in Surgical Orthopedic Profee coding (clearly reflected in your attached resume).
COC Certification a plus.
Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. This is a complex role, requiring more than a CPC‑A level certification.
Don't quite meet the above requirements? Check out some of our other Coder positions.
This is a fully remote position and available only if you live in the following states: AK, 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 with the ability to work your 8‑hour shift between 4 am - 7 pm (Monday‑Friday).
Position Summary
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
Analyze medical information from medical records; accurately code diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consult with medical providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes. Provide thorough, timely and accurate coding in accordance with departmental productivity and quality standards. Code ICD‑CM and CPT‑4 for accurate APC assignment. Address National Correct Coding Initiative (NCCI) edits as appropriate. Reconcile charges as required.
Abstract clinical diagnoses, procedure codes and document other pertinent information obtained from the medical record into the electronic medical records. Seek out missing information and create 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. Refer inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification or additional information for accurate code assignment.
Provide quality assurance for medical records. For all assigned records and/or areas, assure compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Centers for Medicare & Medicaid Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.
As assigned, compile daily and monthly reports; tabulate data from medical records for research or analysis purposes.
Identify validation edits and revision issues to ensure compliant coding.
Recognize and distinguish complex diagnoses and procedures and have attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.
Work independently under regular supervision. Use specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines. Seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).
Minimum Qualifications
High school diploma, GED or equivalent, or an associate’s degree in a related health‑care field.
Requires at least one of the following certifications in active status with AHIMA or AAPC: 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). Certification may also include a general area of specialty.
Requires three or more years of complex professional coding experience within specialty.
Demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by coding competencies, normally demonstrated by certification by AAPC.
Ability to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.
Preferred Qualifications
Specialty certification – e.g., 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 is also valued.
EEO Statement
EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.
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