Ambulatory Coder Professional Billing, FT, Days, - Remote
Ambulatory Coder Professional Billing, FT, Days, - Remote
Prisma Health
Greenville, SC
See who Prisma Health has hired for this role
Job Summary
Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
Accountabilities
- Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40%
- Responsible for resolving all assigned pre-billing edits.15%
- Utilizes appropriate coding software and coding resources in order to determine correct codes. 15%
- Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%
- Participates in coding educational opportunities (webinars, in house training, etc.). 5%
- Provides timely feedback to providers in order to clarify and resolve coding concerns. 5%
- Maintain knowledge of governmental and commercial payer guidelines. 5%
- Assists with the Coding Education team to identify areas that need additional training. 5%
- Performs other duties as assigned.
- This is a non-management job that will report to a supervisor, manager, director or executive.
- High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred
- 2 years - Professional coding only
- NA
- Certified Professional Coder-CPC
- Knowledge of office equipment (fax/copier)
- Proficient computer skills including word processing, spreadsheets, database and data entry
- Mathematical skills
Day (United States of America)
Location
Independence Pointe
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
R1102225
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Engineering and Information Technology -
Industries
Hospitals and Health Care
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