Ambulatory Coder III, Cardio, FT, Days, - Remote

Inspire health. Serve with compassion. Be the difference.

About the role

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.

Responsibilities

• Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation, adhering to all coding and compliance guidelines.
• Utilizes appropriate coding software and coding resources to determine correct codes.
• Communicates billing-related issues to assigned supervisor/manager and participates in meetings 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 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.

Requirements

• High School diploma or equivalent (post-high school diploma or highest degree earned). Associate degree preferred.
• Five (5) years professional fee coding experience.
• Certified Professional Coder (CPC).
• Specialty Certification from AAPC that correlates with assigned specialty.

Skills

• Maintain knowledge of governmental and commercial payer guidelines.
• Knowledge of office equipment (fax/copier).
• Proficient computer skills including word processing, spreadsheets, and database.
• Data entry skills.
• Mathematical skills.

Schedule

Day shift.