Primary City/State:
Phoenix, Arizona
Department Name:
Coding Ambulatory
Work Shift:
Day
Job Category:
Revenue Cycle
The future is full of possibilities. At 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. The future of health care starts here. If you're ready to change lives, we want to hear from you. This is a remote position with some flexibility in hours. Apply today.
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.
POSITION SUMMARY
This position enters appropriate billing codes for a physician practice. Uses Charge Description Master (CDM) and billing software to create billings and charges for insurers, government agencies and other payors. Enters codes into billing system in accordance with nationally recognized coding guidelines and company standards.
CORE FUNCTIONS
1. Reviews codes assigned to patient procedures and cross references with standard charge listings to enter appropriate charges for billing.
2. Researches codes assigned to non-standard procedures, supplies, equipment or materials to determine appropriate charge entries.
3. Assures that all appropriate items, procedures and services are recorded and appropriately billed. Ensures medical record completion as required by national coding standards.
4. Validates daily charge entries against patient visits to ensure accuracy of billing. Matches, corrects and codes charges that do not drop to billing.
5. Identifies opportunities for improvement in clinical documentation. Provides guidance and education for staff in billing procedures and electronic medical records usage procedures for coding and billing requirements. Maintains a current knowledge of procedural terminology requirements and provides staff with updated information on reimbursement charges and documentation requirements. As assigned, develops and provides education for physicians and staff.
6. Works with company finance and Charge Description Master (CDM) teams to develop and maintain coding and billing database information and with other point of service charging/coding staff to maintain consistency in practice.
7. Works as a member of the unit, practice or clinic team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.
8. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.
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.
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge.
Requires a level of knowledge normally gained over two or more years of related work in a physician practice setting. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.
Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.
PREFERRED QUALIFICATIONS
Additional related education and/or experience preferred.
