Job Description

Under the direct supervision of the Manager, the Lead Certified Medical Billing Coder, serves as a subject matter expert, providing direction to less experienced staff.

May assist with training, auditing, and / or reviewing productivity and quality rates under the leadership of department management.

Reviews supporting clinical documentation for clinical based services and procedures to ensure accurate code assignment.

The Lead Coder is also responsible for acting as a communication link between a billing office and a care provider's office as well as training providers during their onboarding orientation process.

The Lead Certified medical billing / coder specialist must be skilled in understanding medical terminology and searching the medical providers documentation to identify all diagnoses, conditions, reasons for treatment, services and procedures recorded.

Essential Functions

• Responsible for maintaining coding compliance for multi-specialty clinic.
• Responsible for maintaining current ICD-9, ICD-10, CPT and coding skills.
• Perform internal quality assurance - summarize findings and report these to the Manager.
• Identify areas of coding weakness and develop training plans to address.
• Review / Audit patient disputes surrounding inappropriate coding in a timely manner.
• Review / Audit insurance denials related to coding questions in a timely manner, providing remedy as needed.
• Manage multiple tasks, prioritizing workload in an efficient manner.
• Communicate clearly both verbally and in writing.
• Audit new providers on 100% review for 30-90 day period.
• Audit coding team members productivity
• Ability to train both providers and coders during their onboarding to the organization.
• Maintain an active Certified Professional Coder certification.
• Assist the billing / collection specialists in verifying and correction coding issuers per the insurance request or claim denials.
• Performs other duties as assigned.

Education & Training Requirements

• High School Diploma or equivalent required
• Graduate of an AHIMA or AAPC Certified Coding Program that includes Anatomy and Physiology required
• One or more of the following is required : Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Professional Coder Apprentice (CPC-A) (Must have active credential(s) to apply.

Those with a credential or training in progress will not be considered). required

Work Experience Required

• Minimum of three years of related experience in a business, medical or technical environment required
• Previous experience in a medical office setting and / or experience with an Electronic Medical Record preferred
• Certified Risk Coder (CRC) credential and / or knowledge of risk adjustment coding preferred

Benefits

As part of values that Healthcare is a Right and not a Privilege, we offer a suite of benefits

Medical / Vision / Dental (Costs of benefits are based on your yearly salary )

Medical visit copays are waived when seeing a Legacy provider.

9 Holiday + 1 Floating Holiday

403b Retirement Plan

Bright Horizons Back-up Care

As a user of Bright Horizons Back-Up Care, you can conveniently schedule care right from your mobile device with the Back-Up Care app your easy, time-saving solution to managing family care challenges while on the go.

Paid Time Off (PTO)

PTO Exchange benefit

PTO Exchange will provide you with the option to convert a portion of your accrued but unused PTO hours for use toward several different benefits and causes, based on your own priorities.

With PTO Exchange, you can convert a portion of your unused PTO into :

403(b) Retirement contributions

Student loan payments / Tuition for the employee

Leave Sharing donations to fellow employees

Primary City / State :

Mesa, Arizona

Department Name :

Banner Staffing Services-AZ

Work Shift : Job Category :

Job Category : Revenue Cycle

Revenue Cycle

Primary Location Salary Range :

$25.03 - $37.55 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

A rewarding career that fits your life. Banner Staffing Services offers a world of opportunities to make an impact on one of the country's leading health systems.

If you're looking to leverage your abilities you belong at Banner Staffing Services.

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 Banner Staffing Services - Complex Inpatient Facility Acute Care HIMS Coder -Remote Medical Coder, with CPS 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 needed).

Our IP coding expectation is 1.2 charts an hour when coding the mid-range charts ( $100,000-249,000) and 1.9 charts per hour when coding both mid-range and low-dollar ( less than $100,000) charts while maintaining a DRG accuracy rate of 95% or higher.

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 performance to Banner standards, which are currently more stringent than most national standards identified.

Meeting Accounts Receivable goals supports Banner Financial goals. In most of our 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 training for anywhere from 1 month+ according to individual need, 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.

• Benefits;
• Competitive wages- 10% above peers with the same experience
• Paid orientation
• Flexible Schedules (select positions)
• Fewer Shifts Cancelled
• Weekly pay
• 403(b) Pre-tax retirement
• Employee Assistance Program
• Employee wellness program
• Discount Entertainment tickets
• Restaurant / Shopping discounts
• Auto Purchase Plan

Registry / Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Registry / Per Diem positions require a minimum of 2 shifts a month commitment.

Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes; employment, criminal and education) is required.

A rewarding career that fits your life. Banner Staffing Services offers a world of opportunities to make an impact on one of the country's leading health systems.

If you're looking to leverage your abilities you belong at Banner Staffing Services.

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.

EOE / Female / Minority / Disability / Veterans

Our organization supports a drug-free work environment.

Privacy Policy

We are seeking a qualified Per Diem Coder for PRN for Home Health Care.

Schedule : Per Diem / PRN

BASIC FUNCTION :

Abstracts clinical information from medical records and assigns appropriate codes to patient records.

Documents and codes final diagnoses.

Confirms appropriate DRG assignments and provides information to other hospital functions - particularly patient accounting services.

Performs statistical analysis of medical record data.

Responds to or clarifies internal requests for medical information.

Assists with implementation of new coding software.

Rectifies computer error listings.

Orients and mentors new staff members.

Qualified candidates must demonstrate the following skills and abilities :

Certified by the American Health Information Management Association as a Coding Specialist (CCS).

Advanced understanding of medical terminology and body systems / anatomy, physiology and concepts of disease.

Customer service abilities including effective listening skills.

Ability to manage significant work load meeting established deadlines with minimal supervision.

This position requires occasional to frequent lifting up to 75-100 pounds and carrying of up to 30 pounds; prolonged standing;

frequent walking, stooping and squatting, pushing, pulling, and overhead lifting.

Benefits

• Medical & Dental & Vision and Prescription
• Paid Vacation / Holiday / Sick Time
• 1-3 days bereavement leave for immediate family
• Long / Short Term Disability plans
• Promotions & Annual merit increases depending on performance

Medical Coder

Position Summary : The Medical Coder - Pathology determines proper billing codes according to medical specialties, based on

ICD-10 standards. This position will primarily code pathology charges but may also code anesthesiology charges.

Job Duties

• Professionally represent client as client billing office
• Communicate effectively with clients and team members
• Determine proper billing procedures / codes according to medical specialties, with an emphasis on pathology;

anesthesiology coding, as required

• Assign appropriate ICD-10 coding to patient charts
• Research codes using tools provided
• Audit accounts for proper coding, charge entry, and receipt of proper payments / adjustments according to

contracts

• Maintain compliance with industry standards and best practices
• Comply with state / federal regulations and adhere to HIPAA and PHI guidelines
• Perform other duties as assigned to meet business needs

Required Knowledge, Skills, and Abilities

• Knowledge of physiology and corresponding medical coding
• Ability to resolve accounts in a timely manner
• Identify account problems along with trends and patterns
• Two years of medical coding experience
• One year coding pathology required; experience coding anesthesiology preferred
• CPC or CCA
• ICD-10 proficient
• Associate's Degree preferred

This is an overview of the position and does not lists all responsibilities. You might be asked by management to perform other duties or projects as needed.

This job description does not represent a promise or contract of employment. MedAR is an "At-Will Employer." An employee may resign at any time and the employer may terminate their employment at any time, with or without cause and with or without notice.

MedAR is an equal opportunity employer. Our employment and promotion policies are based on the measurement of each individual's skill, competence, initiative, and other pertinent job-related factors.

Back to Career Site

Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We keep it simple : Be Brave. Be Brilliant. Be Accountable.

Be Inclusive. Be Collaborative.

If you share our passion for changing healthcare so all people can live healthy, brighter lives apply to join our team.

Centrum Health, part of NeueHealth is seeking a Medical Coder to join our team in Houston. The Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient’s medical records after a visit and translating the information into codes that insurers use to process claims from patients.

Their duties include confirming treatments with medical staff, identifying missing information, and submitting forms to insurers for reimbursement.

Duties and Responsibilities

The main duty of a Medical Coder is to assign codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include :

• Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
• Complying with medical coding guidelines and policies
• Receiving and reviewing patients’ charts and documents for verification and accuracy
• Following up and clarifying any information that is not clear to other staff members
• Collecting information made by the Physician from different sources to prepare monthly reports
• Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
• Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses, or events that lead to the negligence

Requirements and Qualifications

• High school degree or equivalent
• Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements
• Maintain coding certification and attends in-service training as required
• 1 year of medical coding experience
• Understanding of medical terminology, anatomy, and physiology
• Ability to work independently or as an active member of a team
• Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
• Accurate and precise attention to detail
• Ability to multitask, prioritize, and manage time efficiently
• Excellent verbal and written communication skills
• Goal-oriented, organized team player

We’re Making Healthcare Right. Together.

We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team.

By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve.

We do this by : Focusing on Consumers

We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation. Building on Alignment

We integrate and align individual incentives at all levels, from financing to optimization to delivery of care. Powered by Technology We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.