Outpatient Complex Coder

This is a fully remote position, open to applicants in Alaska, +31 more locations.

📋 Description

• Execute coding and abstracting for outpatient complex surgical and observation acute care services across all Banner hospitals.

• Assess health record documentation and allocate diagnoses and surgical procedure codes utilizing ICD-CM/PCS and CPT-4 systems.

• Finalize APC assignment on outpatient complex records as necessary.

• Maintain ethical, precise, and compliant coding in accordance with regulatory standards and national coding guidelines.

• Review medical records and assign codes for diagnostic and procedural information, including modifiers.

• Collaborate with medical providers to clarify any missing or insufficient documentation and establish the correct codes.

• Achieve department productivity and quality benchmarks.

• Resolve National Correct Coding Initiative (NCCI) edits and adjust charges as required.

• Abstract clinical diagnoses, procedure codes, and other relevant patient-encounter information.

• Update account statuses when documentation is lacking.

• Ensure adherence to CMS, OIG, HCFA, state Medicaid plans, Banner policies, and professional standards.

• Guide less experienced staff members and act as a subject matter expert for complex coding issues.

• Independently interpret coding guidelines, NCCI edits, and LCDs prior to consulting coding leadership.

• Operate under general supervision and carry out responsibilities following policies, procedures, regulatory, and accreditation requirements.

⛳️ Requirements

• Minimum of 2 years recent experience in outpatient facility-based coding for Same Day Surgery & Observation.

• Experience in complex coding for acute care across various service lines.

• Proficient in ICD-10-PCS, ICD-10-CM, and CPT coding.

• Current certification from AAPC or AHIMA: CCS, COC, CPC, RHIT, RHIA, or another relevant coding certification in active status.

• High school diploma/GED or equivalent knowledge with specialized formal training in medical record keeping, anatomy, physiology, pathology, medical terminology, nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a health care field.

• Over two years of outpatient complex experience in an acute care inpatient facility or healthcare system.

• Comprehensive knowledge and understanding of ICD CM/PCS and CPT4 coding principles and competencies.

• Capability to work effectively and efficiently in a remote environment using standard office applications, coding software, and abstracting systems.

• Must complete a coding assessment within 48 hours following a successful interview.

• Available to work an 8-hour shift between 5am-7pm, Monday-Friday.

• Able to engage in extensive sitting, periodic standing and walking, and significant use of computers, phones, and office equipment.

• May need to lift up to 20 pounds.

• Proficient in communicating effectively through reading, writing, and speaking.

🏝️ Benefits

• Banner Health supplies your equipment upon hiring.

• Fully remote position available.

• Flexible 8-hour shift between 5am-7pm, Monday-Friday.

• Initial training support provided by the Banner Coding Education team and hiring manager.

• Ongoing career development support.

• Recognized as a Great Place To Work® Certification™ workplace investment.

• Engaging and rewarding career opportunities.

• Drug-free work environment.