Prisma Health Greenville , SC 29617
Posted 4 weeks ago
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.
Accountabilities
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.
Follows departmental policies for charge corrections.
Participates in coding educational opportunities (webinars, in house training, etc.)
Provides timely feedback to providers in order to clarify and resolve coding concerns.
Responsible for resolving all assigned pre-billing edits.
Maintain knowledge of governmental and commercial payer guidelines.
Assists with Compliance Team and Coding Educators to identify areas that need additional training.
Communicates billing related issues to assigned supervisor/manager and participates in A/R meetings in order to improve overall billing when applicable.
Mentor and assist in training for other coders and new team members when applicable.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Education
High school diploma or GED or advanced degree.
Minimum Experience
2 years of Professional Billing or combined Coding/Billing
In Lieu of Minimum Requirements
Associate's degree with two years of professional billing, coding, or combined experience is preferred.
Required Certifications/Registrations/Licenses
Certified Professional Coder
Work Shift
Day (United States of America)
Location
Greenville Memorial Med Campus
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.
Prisma Health