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

Prisma Health; Greenville (SC); On-site; USD 50,000 - 70,000; Full time

Job summary

Prisma Health in Greenville, South Carolina, is seeking a coding specialist responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for various medical settings. This role requires adherence to coding and compliance guidelines while providing expertise in specialty coding.

The ideal candidate should have at least five years of professional fee coding experience and be a Certified Professional Coder (CPC). This position involves mentoring new coders and participating in educational opportunities.

Qualifications

• Five (5) years professional fee coding experience required.
• Certified Professional Coder (CPC) certification necessary.
• Specialty Certification from AAPC that correlates with assigned specialty.

Responsibilities

• Abstracts and codes for assigned provider(s) based on medical record documentation.
• Utilizes appropriate coding software to determine correct codes.
• Provides feedback to providers to clarify and resolve coding concerns.

Skills

Knowledge of governmental and commercial payer guidelines

Proficient computer skills including word processing, spreadsheets, database

Mathematical skills

Education

High School diploma or equivalent

Associate degree preferred

Tools

Coding software

Office equipment (fax/copier)

Job description

Follows departmental policies for charge corrections.

Inspire health. Serve with compassion. Be the difference.

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

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
• 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.
• 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.

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.

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