Profee Coder Complex Neurosurgery Neurology

Department Name: Coding Ambulatory

Work Shift: Day

Job Category: Revenue Cycle

Additional Job Description 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.

We are looking for a motivated, experienced Certified Medical Coder | Profee Coder with ideally 3+ years of Neurology and/or Neurosurgery Complex Coding experience to join our talented team. Our leaders and coders work in a remote environment. Even though we work remotely we have a lot of resources at our fingertips and many people we can reach out to for support. We offer schedule flexibility with great benefits. Lots of internal growth opportunities. Our Leadership team is diverse in skillsets and our focus is on teamwork. Come bring your talents to our team where we can learn from each other.

Location: REMOTE, Banner provides equipment. Schedule: Full time; Mon-Fri, 8am-5pm. Flexible scheduling after training completed (5am-7pm).

Ideal Candidate: 3 years recent/consistent experience in Neurology Profee EM coding (clearly reflected in your attached resume); Neurosurgery Specialty experience preferred; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire.

Please note, this is a COMPLEX role, requiring more than a CPC-A level certification.

This is a fully remote position and available if you live in the following states only: AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MI, MN, MO, MS, NC, NH, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV & WY.

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 evaluates medical records, provides clinical and surgical abstraction for 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

• 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 coding in accordance to department specific productivity and quality standards. Codes ICD CM and CPT4 for accurate APC assignment. Addresses National Correct Coding Initiative (NCCI) edits as appropriate. Reconciliation of charges as required.
• 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, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification/additional information for accurate code assignment.
• 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.
• As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
• Able to identify validation edits and revision issues to ensure compliant coding.
• Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.
• Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course 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 related health care field. Requires at least one of the following: 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), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Certification may also include a general area of specialty. Requires three or more years of complex professional coding experience within specialty. Must demonstrate a level of knowledge and understanding of ICD and 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. Must be able to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.

PREFERRED QUALIFICATIONS

• Specialty Certification. 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 preferred.

Estimated Pay Range: $25.54 - $38.30 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

EEO Statement: EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.

Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

We are proud to offer a comprehensive benefit package for all benefit‑eligible positions.