**Primary City/State:**

Arizona, Arizona

**Department Name:**

Banner Staffing Services-AZ

**Work Shift:**

Day

**Job Category:**

Revenue Cycle

As part of the **Banner Health Revenue Cycle Team,** there are opportunities within that team. We specialize in Outpatient Coding on the facility side. These positions offer opportunities for growth within the coding department, including roles such as Coding Educator, Coding Quality Analyst, and supervisory / management opportunities. Additionally, as part of the Revenue Cycle team, there are opportunities within that team as well. There are also paid education opportunities, internal education, and opportunities for growth in this exceptional team environment.

Looking for a motivated, experienced **Outpatient Facility | Acute Care | HIMS Medical Coder** to join our talented Acute Care HIMS Coding Team. **Bring your experience Acute Care facility coding experience and grow at Banner!** (physician or pro-fee coding is not needed) This requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other appropriate coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). In most of our Coding roles, there is a **Coding Assessment given after each successful interview. Banner Health provides your equipment when hired.** You will be fully supported in training for anywhere from 1 month+ according to individual need, with continued support throughout your career here!

**This is a fully remote position and available if you live in the following states only:** **AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY**

**The hours are flexible** as we have remote Coders across the Nation. The hours are flexible with some minor parameters. Generally, any 8 hour period between 7am – 7pm can work, with production being the greatest emphasis.

Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health. Banner Staffing also provides RN Bedside Commitment opportunities (formally Banner Travel) which offers 8, 10, or 13-week commitments at facilities in WY, NV, NE, CA, AZ and CO. Learn more at https://youtu.be/Pu3VR3tGlw0 As a valued and respected Banner Health team member, you will enjoy:

Competitive wages

Paid orientation

Flexible Schedules (select positions)

Fewer Shifts Cancelled

Weekly pay

403(b) Pre-tax retirement

Resources for living (Employee Assistance Program)

MyWell-Being (Wellness program)

Discount Entertainment tickets

Restaurant/Shopping discounts

Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes employment, criminal and education) is required.

POSITION SUMMARY

This position will review operations/claims department issues for correct coding along with referral (prior authorization) issues Review criteria are based on Medicaid, CMS (Centers for Medicare/Medicaid) and established clinical guidelines. This position will assist in identifying reimbursement over/under payment outcomes and represent Claims and Reimbursement Services in claim reviews to facilitate payments.

CORE FUNCTIONS

1. Reviews claims for correct coding based on HP guidelines that also include Medicaid, Commercial, CMS regulations and CCI principles. Records and communicates all review outcomes.

2. Provides recommendations regarding incorrect reimbursements based on business decisions and correct coding guidelines

3. Identifies opportunities for improving the authorization process

4. Reviews, researches and provides identification of regulatory and accepted practices to determine any potential impact to providers, members, and Health Network operations.

5. Works directly with operations and authorization personnel in the claim review process.

6. Participates in required in-services by the Health Network or the department. Represents department at assigned meetings.

7. Assists leadership and oversight entities including regulators and internal compliance, fraud, waste and abuse designees in identifying, measuring and meeting regulatory expectations and financial goals.

8. Assists leadership in training Banner Health Network in regard to correct coding, fraud waste and abuse where applicable while utilizing appropriate training based communication.

9. This position works closely with various departments, provider groups, and regulatory oversight entities to identify correct coding methodology.

MINIMUM QUALIFICATIONS

Must possess a strong knowledge of clinical care as normally obtained through the completion of an Associate’s in a healthcare related field.

Requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).

Must have the ability to work independently, possess demonstrated critical thinking skills, problem-solving abilities, and effective communication skills and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

**EEO Statement:**

EEO/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

**Privacy Policy:**

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner 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