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

Prisma Health; United States; Remote; USD 55,000 - 90,000; Full time

Job summary

Prisma Health seeks a qualified Medical Coding Specialist to review and assign CPT, ICD-10, modifiers and HCPCS codes across inpatient, outpatient, and physician settings. You will stay updated on coding guidelines, communicate with providers, and help improve billing processes.

High school diploma or equivalent, CPC certification, and 2+ years of coding experience are expected. The role requires knowledge of payer guidelines, coding software, and ongoing training participation.

Qualifications

• Maintains 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 to determine correct codes.

Responsibilities

• Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation.
• Adheres to all coding and compliance guidelines.
• Resolves all assigned pre-billing edits.
• Communicates billing related issues and participates in meetings to improve the billing process.
• Provides feedback to providers to clarify and resolve coding concerns.
• Assists in identifying areas that need additional training.
• Performs other duties as assigned.

Skills

Payer guidelines

Coding education/training

Coding software

Office equipment

Word processing & spreadsheets

Data entry

Mathematical skills

Education

High School diploma or equivalent

Associate degree preferred

Tools

Coding software

Job description

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 preferred
• 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.).
• 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, database
• Data entry skills
• Mathematical skills

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

Corporate

Department

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.