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