Profee Coder Primary Care

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

About the role

Banner Health is looking for a motivated, experienced Profee Coder with at least 1 year of Primary Care coding experience to join our remote team. In this role, you will handle high-volume coding for a busy family practice clinic, including charges for HCC diagnostic, Annual, and Physical exams.

This is a fully remote, full-time position available to candidates residing in the following states: AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, 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, and WY. The schedule is flexible, with the ability to work an 8-hour shift between 5am–7pm AZ time (Monday–Friday). Banner provides equipment.

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 per 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, plus specialized formal training in medical record principles, 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 1 year of recent E/M Family Practice coding experience (clearly reflected on resume).
• At least 6 months of production coding experience in a healthcare setting.
• 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 in coding.
• Additional related education and/or experience.

Pay

Estimated pay range: $23.16 – $34.74 per hour. Actual pay determined at offer will be based on years of relevant experience, education, certifications, skills, geographic location, and a review of current employees in similar roles to ensure pay equity.