Medical Coder – Complex Surgical, Pediatric

This is a fully remote position, open to applicants in Alaska, +30 more states.

📋 Description

• Assess medical records and deliver clinical and surgical abstraction for intricate and/or multispecialty surgical, procedural, and E&M professional services.

• Accurately assign codes for diagnostic and procedural information in accordance with national coding standards and reimbursement criteria.

• Collaborate with medical providers to clarify any missing or insufficient record details and identify suitable codes.

• Achieve departmental productivity and quality benchmarks.

• Code ICD-CM and CPT-4 for precise APC assignments.

• Address National Correct Coding Initiative (NCCI) edits and reconcile charges as necessary.

• Abstract clinical diagnoses, procedure codes, and other relevant data into electronic medical records.

• Generate complete records and seek out any missing information.

• Refer any inconsistent treatment information or documentation for clarification.

• Ensure quality assurance and compliance with coding rules and regulations.

• Compile daily and monthly reports and aggregate medical-record data for research or analytical purposes.

• Identify validation edits and revision concerns.

• Differentiate complex diagnoses and procedures, make necessary corrections, and guarantee accurate coding, reimbursement, and compliance.

• Operate independently under regular supervision and interpret coding guidelines and LCDs as required.

⛳️ Requirements

• Minimum of 3 years of recent experience in Pediatric Profee E/M coding.

• Specialty experience is favored.

• Active certification from AAPC or AHIMA: CPC, CCS, CCS-P, RHIA, or RHIT.

• A certification level beyond CPC-A is necessary for this complex position.

• At least 3 years of experience in complex professional coding within a specialty.

• Comprehensive knowledge and understanding of ICD and CPT coding principles.

• Capability to work effectively and efficiently in a remote environment.

• Proficiency in standard office software, coding applications, and abstracting systems.

• High school diploma/GED or equivalent working knowledge and specialized formal training comparable to a two-year certification course, or an Associate’s degree in a related healthcare discipline.

• Specialty certification is preferred.

• Experience in a large, multi-system physician practice is advantageous.

🏝️ Benefits

• Flexible working hours, allowing for an 8-hour shift between 5am–7pm Monday–Friday.

• Fully remote work environment.

• Equipment provided by the employer.

• Team support and educational opportunities.

• Engaging and fulfilling career pathways.

• Comprehensive Banner Health total rewards package.