Jobs · Engineering

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

Prisma Health · Greenville, SC · 1 mo ago
EngineeringFull-time

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

  • 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.
  • Affords assistance 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.
  • 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.).
  • Utilizes appropriate coding software and coding resources in order to determine correct codes.
  • Uses proficient computer skills including word processing, spreadsheets, databaseData entry skills.
  • Uses mathematical skills.

Work Shift

Day (United States of America)

Location

Independence Pointe Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services

Similar jobs