Profee Senior Coder Surgical Cardiology

Join to apply for the Profee Senior Coder Surgical Cardiology role at Banner Health
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Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience.

Department: Coding Ambulatory
Work Shift: Day
Job Category: Revenue Cycle

We are looking for a motivated, experienced Profee Coder | Physician Practice Senior Coder with 5+ years of Cardiology Complex Coding experience (ideally Surgical Cardiology) to join our talented team. This position does require Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent/consistent coding work history of 3 years or more.

Location: REMOTE, Banner provides equipment.
Schedule: Full time;
Flexible scheduling after training completed.

Ideal Candidates:

• 5 years recent experience in Surgical Cardiology Profee EM coding (clearly reflected in your attached resume).
• Specialty Cardiology coding 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. This is a COMPLEX role, requiring more than a CPC-A level certification.

Eligible States: AK, AR, AZ, CA, CO, FL, GA, IA, , IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. The hours are flexible with the ability to work your 8‑hour shift between 4 am‑7 pm (Monday‑Friday).

This position performs full range of complex professional coding in support of specialty or multi‑specialty physician practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance with nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and revisions. Participates and leads in training and onboarding of new staff.

Participates and leads coding round table discussions.

• 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.
• Provides mentoring for less experienced staff members and act as subject matter experts for complex coding. Will assist in onboarding of new coders to include but not limited to…