Banner Health
Overview
Physician-based Oncology Senior Complex Coder Join to apply for the Physician-based Oncology Senior Complex Coder role at Banner Health Estimated Pay Range: $26.82 - $40.22 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Location: Remote position available in 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. EEO/Disabled/Veterans This role is remote with equipment provided; candidates will work with a team to support care delivery and stay connected with leadership and colleagues. Responsibilities
This Senior Complex Coder 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. Utilizes coding knowledge 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 and codes ICD CM and CPT4 for accurate APC assignment. Addresses NCCI edits as appropriate. Reconciles charges as required. Abstracts clinical diagnoses, procedure codes and documents information in electronic medical records; seeks missing information and ensures complete records with necessary signatures/authorizations. Provides quality assurance for medical records and ensures compliance with coding rules and regulations for state Medicaid, CMS, OIG, HCFA, and applicable standards. Compiles daily and monthly reports and analyzes data for research or operational purposes. Identifies validation edits and revision issues to ensure compliant coding. Recognizes complex diagnoses and procedures and makes corrections for accurate coding and reimbursement. Mentors less experienced staff and may assist in onboarding and system training; acts as SME for complex coding and supports coding education. Works independently with the ability to prioritize work and address complex coding matters in accordance with national guidelines and LCDs. Minimum Qualifications
High school diploma/GED or equivalent, or Associate’s degree in a related health care field, with formal training in medical record keeping and terminology. Required: Active certification such as CPC, CCS, CCS-P, RHIA, or RHIT with AHIMA or AAPC. Certification may include a general area or specialty. This is a complex role requiring more than CPC-A level. Five or more years of specialized, complex professional coding experience for clinical specialty areas. Knowledge of ICD and CPT coding principles as per AHIMA coding competencies; ability to work autonomously with attention to detail and quality outcomes. Experience working remotely and using common office programs and coding software. Preferred Qualifications
Radiology Certified Coder (RCC) if employed in the Imaging space. Specialty coding certifications. Anticipated Closing Window
2026-01-01
#J-18808-Ljbffr
Physician-based Oncology Senior Complex Coder Join to apply for the Physician-based Oncology Senior Complex Coder role at Banner Health Estimated Pay Range: $26.82 - $40.22 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Location: Remote position available in 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. EEO/Disabled/Veterans This role is remote with equipment provided; candidates will work with a team to support care delivery and stay connected with leadership and colleagues. Responsibilities
This Senior Complex Coder 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. Utilizes coding knowledge 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 and codes ICD CM and CPT4 for accurate APC assignment. Addresses NCCI edits as appropriate. Reconciles charges as required. Abstracts clinical diagnoses, procedure codes and documents information in electronic medical records; seeks missing information and ensures complete records with necessary signatures/authorizations. Provides quality assurance for medical records and ensures compliance with coding rules and regulations for state Medicaid, CMS, OIG, HCFA, and applicable standards. Compiles daily and monthly reports and analyzes data for research or operational purposes. Identifies validation edits and revision issues to ensure compliant coding. Recognizes complex diagnoses and procedures and makes corrections for accurate coding and reimbursement. Mentors less experienced staff and may assist in onboarding and system training; acts as SME for complex coding and supports coding education. Works independently with the ability to prioritize work and address complex coding matters in accordance with national guidelines and LCDs. Minimum Qualifications
High school diploma/GED or equivalent, or Associate’s degree in a related health care field, with formal training in medical record keeping and terminology. Required: Active certification such as CPC, CCS, CCS-P, RHIA, or RHIT with AHIMA or AAPC. Certification may include a general area or specialty. This is a complex role requiring more than CPC-A level. Five or more years of specialized, complex professional coding experience for clinical specialty areas. Knowledge of ICD and CPT coding principles as per AHIMA coding competencies; ability to work autonomously with attention to detail and quality outcomes. Experience working remotely and using common office programs and coding software. Preferred Qualifications
Radiology Certified Coder (RCC) if employed in the Imaging space. Specialty coding certifications. Anticipated Closing Window
2026-01-01
#J-18808-Ljbffr