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

AAPC; Greenville (SC); Remote; USD 55,000 - 75,000; Full time

Job summary

Prisma Health is seeking a Coding Specialist to validate and assign CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. The role requires adherence to coding and compliance guidelines and ongoing knowledge of payer guidelines.

The specialist will communicate coding issues with providers and teammates, resolve pre-billing edits, and contribute to process improvements. A CPC credential and two years of coding experience are required.

Qualifications

• Two years of professional coding experience required.
• Certified Professional Coder (CPC) credential required.
• Knowledge of governmental and commercial payer guidelines.

Responsibilities

• Validate/review and assign CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient, and office/clinic settings.
• Communicate with providers and team members regarding coding issues.
• Resolve all assigned pre-billing edits.
• Identify areas for additional training and participate in coding education opportunities.

Skills

Professional coding experience

CPC Certification

Coding software

Coding references

Data entry

Mathematical skills

Education

High School diploma or equivalent

Associate degree preferred

Tools

Coding software

Coding references

Job description

Coding Specialist

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.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. 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. Assists 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.
• Associate degree preferredExperience - Two (2) years professional coding experienceRequired Certifications, Registrations, LicensesCertified Professional Coder-CPCKnowledge, Skills and AbilitiesMaintains knowledge of governmental and commercial payer guidelines.
• Participates in coding educational opportunities (webinars, in house training, etc.).
• Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
• Knowledge of office equipment (fax/copier)Proficient computer skills including word processing, spreadsheets, databaseData entry skillsMathematical skillsWork ShiftDay (United States of America)LocationIndependence PointeFacilityCorporateDepartmentMedical Group Coding & Education Services

Work Shift

Work ShiftDay (United States of America)LocationIndependence PointeFacilityCorporateDepartmentMedical Group Coding & Education Services

Location

LocationIndependence PointeFacilityCorporateDepartmentMedical 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.