Ambulatory Coder Professional Billing, FT, Days, - Remote

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.


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