Jobs · Engineering

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

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

Job Summary

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.

Essential Functions

  • 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.
  • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order 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 in order to clarify and resolve coding concerns.
  • Solves assigned pre-billing edits.
  • Aids in identifying areas that require additional training.
  • Mentors and assists in training other coders and new team members.
  • 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. Associate degree preferred.
  • Experience - Five (5) years professional fee coding experience.
  • In Lieu Of NA Required.

Certifications, Registrations, Licenses

  • Certified Professional Coder (CPC)
  • Specialty Certification from AAPC that correlates with assigned specialty

Knowledge, Skills And Abilities

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

Work Shift

Day (United States of America)

Location

Patewood Memorial Hospital

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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