Profee Complex Coder Surgical Cardiology Job Mesa Arizona USA,Healthcare

Department Name:
Coding Ambulatory

Work Shift:

Day Job Category:
Revenue Cycle 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 Profee Coder | Physician Practice Complex Coder with 3+ years of Cardiology Complex Coding experience (ideally Surgical Cardiology) to join our talented team.

Location:

REMOTE, Banner provides equipment.

Schedule:

Full time;
Flexible scheduling after training completed. Ideal Candidates: 3 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. Please note, this is a COMPLEX role, requiring more than a CPC-A level certification.
** Don't quite meet the above requirements? Check out some of our other Coder positions!

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, , 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. The hours are flexible with the ability to work your 8-hour shift between 4am-7pm (Monday-Friday).

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…