What are the responsibilities and job description for the Coder Complex Inpatient position at Banner Health?
Primary City/State:
Iowa, IowaDepartment Name:
Coding-Acute Care HospitalWork Shift:
DayJob Category:
Revenue CycleA 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.
As part of the Banner Health Revenue Cycle Team, there are opportunities within that team. We specialize in Inpatient coding on the facility side. We do not do pro-fee coding. We are a team of 4 Inpatient Coding Managers who cover for each other and report to the Director of Acute Care Coding. These positions offer opportunities for growth both within the coding department, including roles such as Coding Educator, Coding Quality Analyst and supervisory/management opportunities. Additionally, as part of the Revenue Cycle team, there are opportunities within that team as well.
Looking for a motivated, experienced Inpatient Facility | Acute Care | HIMS Complex Coder -Remote | Medical Coder, with CPC or CCS and/or RHIT or RHIA Certifications, to join our talented Acute Care HIMS Coding Team. Candidate should have experience coding all service lines including, but not limited to; Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. Must have ICD-10-PCS coding experience. Ideally 3 or more years of experience coding in a facility coding setting (physician or pro-fee coding for IP is not considered part of the required experience coding facility inpatient accounts). We use the number of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate Banner productivity standards, which are currently more stringent than most national standards identified. Quality standards are set at a DRG accuracy rate of 95% or higher among other quality measures. Meeting Accounts Receivable goals supports Banner Financial goals. In all of our Inpatient Coding roles, there is a Coding Assessment given after each successful interview. Banner Health provides your equipment when hired. You will be fully supported in during initial training by both the Banner Coding Education team and your hiring manager, with continued support throughout your career here!
This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD,MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY.
The hours are flexible as we have remote Coders across the Nation. Generally any 8 hour period between 7am – 7pm can work, with production being the greatest emphasis.
A Coding Assessment will be given after a successful interview to be completed within 48 hours.
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
Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and codes and abstracts diagnoses and/or procedures on inpatient records using ICD CM and PCS coding classification systems. Completes MS-DRG and APR-DRG assignments on inpatient records 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 timely and accurate coding in accordance to department specific productivity and quality standards thorough assignment of ICD CM and PCS codes, MS-DRGs, APR-DRGs and POAs for mid-tiered complexity range of acute care services at all Banner hospitals.
2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the patient encounter. Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists. Refers inconsistent patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code assignment.
3. Provides coding 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. Ability to address related and complex matters independently with regard to interpretation of coding guidelines.
4. May provide mentoring for less experienced staff members.
5. Works under general supervision using specialized expertise in the subject matter. Works within a set of defined rules. Ability to address related and complex matters independently with regard to interpretation of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst.
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 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 three or more years of inpatient coding experience in Acute Care inpatient facility or healthcare system.
Must demonstrate a level of knowledge and understanding of ICD CM and PCS coding principles as recommended by the American Health Information Management Association coding competencies.
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
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