BSS, Risk Adjustment Coding Reviewer, Banner Health Corporate Office, Monday-Friday 8:00AM - 5:00PM, WSOS 353964

Primary City/State:

Mesa, Arizona

Department Name:

Banner Staffing Services-AZ

Work Shift:

Day

Job Category:

Risk, Quality and Safety

A rewarding career that fits your life. Banner Staffing Services offers a world of opportunities to make an impact on one of the country’s leading health systems. If you’re looking to leverage your abilities – you belong at Banner Staffing Services. 

PRN Availability: 8hr shifts

Shift times: 7am-4pm until after Orientation is completed.

Location: Remote

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 Health offers employment options to match your career and lifestyle needs. We will meet you where you are and how you want to work! 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.

This position requires 3-5 years complex coding experience in facility-inpatient specific coding. Not quite there yet? Look at our other Coding opportunities!

POSITION SUMMARY

This position, using a combination of data and chart reviews, identifies patterns in provider coding. Implements when necessary, education to providers and their staff to remediate areas of low performance. This position assists with the delivery of education/training materials, conducts and coordinates training and development of providers and their office staff. Provides technical training in coding, risk adjustment, documentation, and billing functions.

CORE FUNCTIONS

1. Conducts medical record reviews to evaluate documentation to ensure that diagnosis coding meets specificity requirements to support clinical indicators.

2. Query providers regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the heath record.

3. Compiles data and recommends solutions regarding trends or patterns noticed in provider coding. Provides formal training to providers and staff regarding coding, billing and documentation standards related to risk adjustment activity.

4. Assists, with concurrent coding to meet departmental goals/deadlines. Maintains a 96% quality audit accuracy rate.

5. Performs prospective, concurrent, and retrospective chart reviews based on department needs/goals.

6. Assists with research and analysis for inquiries regarding compliance, coding, and inappropriate documentation.

7. Performs the minimum number of coding quality reviews consistent with established departmental goals. Maintains strictest confidentiality based on HIPAA privacy policy.

8. Maintains current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10-CM book, CMS manuals, by attending educational workshops/conferences, reviewing professional publications, establishing personal networks, and/or participating in professional societies. This may also include performing ongoing research to ensure compliance with clinical documentation and/or regulatory guidelines and standards.

MINIMUM QUALIFICATIONS

Must possess a current knowledge of business and/or healthcare as normally obtained through completion of a Bachelor’s degree in healthcare administration or