Banner Health, Arizona's largest healthcare organization and the 2 nd largest private employer in the state is currently seeking a Sr. HIMS Coder. The Sr. HIMS Coder will have the opportunity to work from home.
About Banner Health Corporate
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. With locations in Phoenix, Mesa and Sun City, Ariz. and Greeley, Colo., 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.
About Banner Health
Banner Health was selected as one of the Top Leadership Teams in Healthcare by Health Leaders Media, is one of the Top 100 Integrated Healthcare Networks in the nation according to SDI, and voted as one of the “ Best Places to Work ” in the Phoenix metro area by the Phoenix Business Journal. We encouraged you to read more information about Banner Health. We recommend the following options:
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Provides coding and abstracting services for the full range of hospital services and/or complex specialty practice areas. Reviews diagnosis and diagnostic information and codes and abstracts diagnoses and/or surgical procedures on all inpatient, outpatient and emergency room records using ICD CM and CPT 4 coding classification systems. Completes DRG and APC assignments on inpatient or outpatient record as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding.
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 assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.
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, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information or documentation to coding quality analysis, 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.
Acts as a knowledge resource to clinical staff in billing code matters. May provide leadership and training for less experienced staff members. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
Requires a high school degree or equivalent and specialized formal training in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) in an active status with the American Health Information Management Association (AHIMA). Must demonstrate a level of knowledge and understanding of ICD and/or CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders. Requires three or more years of experience providing coding services for a broad range of hospital and acute care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards. Must be able to work effectively with common office software and coding software and abstracting systems.
Additional related education and/or experience preferred.
If you thrive on change and you’re looking to be part of the future of health care, you belong at Banner Health.