Ambulatory Coder III, FT, Days, - Remote

AAPC; Columbia (SC); Remote; USD 65,000 - 90,000; Full time

Job summary

Prisma Health is seeking a Coding Specialist to abstract and validate CPT, ICD-10 and HCPCS codes across inpatient, outpatient, and clinic settings. You will stay updated on coding guidelines, mentor staff, and ensure accurate billing.

Day shifts require strong collaboration with the Medical Group Coding & Education Services team. Ideal candidates have CPC credentials, 5 years of professional coding experience, and the ability to work with coding software to resolve complex coding challenges.

Qualifications

• Education: High School diploma or equivalent; Associate degree preferred.
• Five years of professional fee coding experience.
• Maintain CPC credentials and specialty certification.

Responsibilities

• Abstracts/codes for assigned provider(s)/division based on medical record documentation.
• Adheres to all coding and compliance guidelines.
• Utilizes appropriate coding software and coding resources to determine correct codes.
• Communicates billing related issues to supervisor/manager and participates in meetings to improve overall billing.
• Mentors and assists in training other coders and new team members.
• Performs other duties as assigned.

Skills

CPC knowledge

Coding accuracy

Healthcare coding standards

Education

Certified Professional Coder (CPC)

Specialty Certification from AAPC

Tools

Prisma Health coding software

Job description

Coding SpecialistInspire health. Serve with compassion. Be the difference. 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 membersPerforms 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 - 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, databaseData entry skillsMathematical skills

Work Shift

Day (United States of America)

Location

1200 Colonial Life BlvdFacilityCorporateDepartmentMedical 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.