Profee Coder Academic General Med

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

About the role

We are looking for a motivated, experienced Profee Coder with at least 1 year of Academic General Med with Inpatient physician coding experience to join our talented team. In this fully remote position, you will handle high-volume coding for our academic facilities, including residents, heavy EM coding, and inpatient visits sometimes involving split billing.

This role is 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.

Responsibilities

• Evaluates medical records, provides clinical and surgical abstraction, and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.
• Analyzes medical information from medical records and accurately codes diagnostic and procedural information per national coding guidelines and reimbursement requirements.
• Consults with medical providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes.
• Provides thorough, timely, and accurate coding in accordance with department-specific productivity and quality standards.
• Codes ICD-CM and CPT-4 for accurate APC assignment and addresses National Correct Coding Initiative (NCCI) edits as appropriate.
• Reconciles charges as required and abstracts clinical diagnoses, procedure codes, and other pertinent information into electronic medical records.
• Seeks missing information to create complete records, including disease and procedure codes, discharge disposition, dates, physicians, and signatures/authorizations.
• Refers inconsistent patient treatment information to coding quality analysts, supervisors, or departments for clarification to ensure accurate code assignment.
• Ensures compliance with coding rules and regulations for state Medicaid plans, CMS, OIG, HCFA, and company/professional standards.
• Compiles daily and monthly reports and tabulates data from medical records for research or analysis.
• Works independently under regular supervision, using specialized knowledge for accurate ICD/CPT code assignment and seeking guidance for correct interpretation of coding guidelines and LCDs.

Requirements

• High school diploma/GED or equivalent working knowledge, with specialized formal training in medical record keeping, anatomy, physiology, pathology, medical terminology, and classification of diagnoses/operations. Alternatively, an Associate’s degree in a related healthcare field.
• Active certification as one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder – Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) through AHIMA or AAPC.
• Minimum of 1 year of recent experience in E/M Academic General Med coding, including experience with residents (must be reflected in your resume).
• At least 6 months of professional coding services or related healthcare experience within a broad range of healthcare facilities.
• Demonstrated knowledge of ICD and CPT coding principles as recommended by AHIMA coding competencies.
• Ability to work effectively in a remote setting using common office programs, coding software, and abstracting systems.

Preferred Qualifications

• Specialty certification.
• Additional related education and/or experience.

Schedule

Monday–Friday, 7:30 AM–4:00 PM or 8:00 AM–4:30 PM with flexibility.

Pay

Estimated pay range: $23.16 – $34.74 per hour. Banner Health is committed to pay equity and transparency. The range reflects the lowest to highest pay the organization in good faith believes it might offer for this role, based on relevant experience, education, certifications, skills, and geographic location at the time of posting.