Ambulatory Coder II Professional Billing, PRN, Days, - Remote

@ 170 Prisma Health
170 Prisma Health170prismahealth.com

Ambulatory Coder II Professional Billing, PRN, Days, - Remote

Greenville, SC
Posted 6 days ago

About the job

Prisma Health aims to transform healthcare by recruiting talented individuals. This role involves reviewing medical codes for accuracy, ensuring billing compliance, and supporting coding education within a multi-specialty medical environment.

Requirements

  • High School diploma or equivalent
  • Two years professional coding experience
  • Knowledge of coding software
  • Attention to detail

Qualifications

  • Certified Professional Coder-CPC
  • Ability to follow guidelines
  • Strong communication skills
  • Proficient with office software

Full job description

Inspire health. Serve with compassion. Be the difference.

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.

Essential Functions

  • All team members are expected to be knowledgeable and compliant with Prisma Health's values:  Inspire health.  Serve with compassion.  Be the difference.

  • Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.

  • Responsible for resolving all assigned pre-billing edits

  • Communicates billing related issues and participates in meetings to improve overall billing process

  • Provides feedback to providers in order to clarify and resolve coding concerns.

  • Assists in identifying areas that need additional training.

  • Performs other duties as assigned.

Supervisory/Management Responsibilities

  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

  • Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred

  • Experience - Two (2) years professional coding experience

In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • Certified Professional Coder-CPC

Knowledge, Skills and Abilities

  • Maintains knowledge of governmental and commercial payer guidelines.

  • Participates in coding educational opportunities (webinars, in house training, etc.).

  • Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.

  • Knowledge of office equipment (fax/copier)

  • Proficient computer skills including word processing, spreadsheets, database

  • Data entry skills

  • Mathematical skills

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

Corporate

Department

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.

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