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Ambulatory Coder III, Professional Billing, FT, Days, - Remote

Prisma Health
Posted a month ago, valid for 10 days
Location

Greenville, SC, US

Salary

Competitive

Contract type

Full Time

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Sonic Summary

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  • The job involves abstracting and validating CPT, ICD-10, and HCPCS codes in various healthcare settings, while adhering to coding and compliance guidelines.
  • Candidates must have a minimum of five years of professional fee coding experience and hold a Certified Professional Coder (CPC) certification.
  • The position requires knowledge of coding/billing updates and payer-specific coding guidelines, and candidates should be proficient in relevant coding software.
  • This non-management role will involve mentoring and training new team members while also participating in educational opportunities to enhance coding skills.
  • The work shift is during the day at the Independence Pointe facility, and the vision of Prisma Health is to transform healthcare for the benefit of the communities served.

Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty.

Essential Functions

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

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

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

  • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.  

  • Follows departmental policies for charge corrections.  

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

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

  • Resolves assigned pre-billing edits.

  • Assists in identifying areas that require additional training.

  • Mentors and assists in training other coders and new team members

  • 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 - Five (5) years professional fee coding experience

In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • Certified Professional Coder (CPC)

  • Specialty Certification from AAPC that correlates with assigned specialty

Knowledge, Skills and Abilities

  • Maintain knowledge of governmental and commercial payer guidelines.  

  • 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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By applying, a Prisma Health account will be created for you. Prisma Health's Privacy Policy and Terms & Conditions will apply.

SonicJobs' Terms & Conditions and Privacy Policy also apply.