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Primary City/State:Phoenix, ArizonaDepartment Name:Revenue Integrity-CorpWork Shift:DayJob Category:Revenue CycleThis can be a remote position if you live in or near the following state(s) only: AR, AZ, CA, CO, FL, GA, IA, ID, MI, MN, MO, NC, ND, NE, NM NV, OH, PA, SC, TN TX, UT, WA, WI, WY, NYAt Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. Our team has come together with the common goal: "Make health care easier, so life can be better"Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursementAs a Senior Cardiology & Interventional Radiology Coder you support charge capture for Banner Health .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.POSTION SUMMARYThis position evaluates medical records and assigns appropriate clinical procedure/anesthesia charges and supply charges in accordance with nationally recognized coding guidelines for technical Cardiology and Interventional Radiology services.CORE FUNCTIONS
Analyzes medical information from medical records. Accurately charge procedural and supply 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 charges – using Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, Ambulatory Payment Classification (APC), and reconciliation of charges.
Seeks out missing information and creates complete records, including items such as assigning procedure codes/charges, anesthesia codes/charges, supply codes/charges, and date of surgery. Refers inconsistent patient treatment information/documentation to 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.
Work all assigned billing edits related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture Audit (CCA).
As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
Works independently under regular supervision. Uses specialized knowledge for accurate assignment of CPT/HCPCS codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).
MINIMUM QUALIFICATIONSAssociate's degree or technical degree or equivalent working knowledge.Must demonstrate a level of knowledge and understanding of ICD and 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. Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health 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.Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Interventional Radiology Cardiovascular Coder (CIRCC) in an active status is required.Must be able to work effectively with common office software and coding software and abstracting systems.PREFERRED QUALIFICATIONSRegistered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.Additional related education and/or experience preferred.EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)Our organization supports a drug-free work environment.Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)EOE/Female/Minority/Disability/VeteransBanner Health supports a drug-free work environment.Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
Full-time