Register now and plan to attend the population health workshop to learn how your hospital can address community needs in the areas of transportation, housing, education, access to healthy foods, physical activity,and others.
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.
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 Employee Assistance Program Employee wellness program Discount Entertainment tickets Restaurant/Shopping discounts Auto Purchase Plan 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.
Innovation and highly trained staff. Banner Health leaders can access the staff and resources they need to bring their vision to life. If you're looking to leverage your abilities - you belong at Banner Health.
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.
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.
NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager
Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner.
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.
Additional related education and/or experience preferred.
Internal Number: R28957
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.