Physician Coder CQA Ambulatory
- Compensation
- Not disclosed
- Location
- Remote Arizona
- Work setup
- Remote
- Seniority
- Not specified
- Employment
- Not specified
- Experience
- 5+ years
- Category
- Healthcare
- Posted
Skills
Must have
- 5 years current experience in Ambulatory Physician-based coding;
- Bachelors degree in HIMS or equivalent;
- Must be Certified Coder through AAPC or AHIMA, as defined in minimum qualifications
- Requires a level of education as normally demonstrated by a bachelor’s degree in Health Information Management or experience equivalent to the same, and current continuing education.
- In an ambulatory and professional care setting, requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health I
- Demonstrated proficiency in hospital and/or multiple physician specialty coding as normally obtained through 5 years of current and progressively responsible coding experience required.
- Must possess a thorough knowledge of ICD-10 coding and/or CPT coding principles, as recommended by the American Academy of Professional Coders or American Health Information Management Association cod
- Extensive critical and analytical thinking skills required. Ability to organize workload to meet deadlines and maintain confidentiality. Excellent written and oral communication skills are required, a
- Must consistently demonstrate the ability to understand the Medicare, Physician Fee Schedule and the clinical coding data base and indices, and must be familiar with coding and abstracting software, c
Nice to have
- Additional related education and/or experience preferred.
- Estimated Pay Range:
- EEO Statement:
- EEO/Disabled/Veterans
- Our organization supports a drug-free work environment.
- Privacy Policy:
- Privacy Policy
Full description
Department Name:
Coding Ambulatory
Work Shift:
Day
Job Category:
Revenue Cycle
A 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.
In this Physician Coder Quality Associate position, you bring your 5 years of Ambulatory Physician coding experience to a team who resolves complex denials, identifies trends, and provides solutions to help support mid-revenue cycle.
This is a Quality position, not a day-to-day coding production role, but does require coding proficiency and recent Physician Ambulatory/Professional Coding experience. This position is task-solution-oriented ensuring quality in the Ambulatory Coding department and allows opportunity for coaching fellow coders through different aspects of Ambulatory Coding and denial prevention.
Requirements:
- 5 years current experience in Ambulatory Physician-based coding;
- Bachelors degree in HIMS or equivalent;
- Must be Certified Coder through AAPC or AHIMA, as defined in minimum qualifications
**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, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. Don't quite meet the above requirements? Check out some of our other Coder positions!
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 is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with medical staff and quality management staff to correctly align diagnosis documentation and billing coding to improve the quality of clinical documentation and correctness of billing codes prior to claim submission to third party payers; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-9 assignments on health records. Provides guidance and expertise in the interpretation of, and adherence to, the rules and regulations for documentation.