Ambulatory Coder III, FT, Days, - Remote

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

Job summary

Prisma Health is seeking a qualified medical coder for the Greenville location. This role focuses on abstracting and validating CPT, ICD-10, and HCPCS codes for various healthcare settings while adhering to compliance guidelines and updates. Candidates should have at least 5 years of professional coding experience and hold a Certified Professional Coder certification.

Additional qualifications include teamwork and mentoring skills, proficiency in coding software, and the ability to communicate effectively. Join us to inspire health, serve with compassion, and be the difference.

Qualifications

• Minimum of 5 years of professional fee coding experience.
• Certified Professional Coder (CPC) certification is required.
• Specialty Certification from AAPC preferred.

Responsibilities

• Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation.
• Utilizes coding software to determine correct codes.
• Mentors and assists in training other coders.

Skills

Coding compliance knowledge

Data entry skills

Mathematical skills

Proficient computer skills

Education

High School diploma or equivalent

Associate degree preferred

Tools

Coding software

Office equipment (fax/copier)

Job description

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

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 Outpt Ctr/Med Offices

Facility

7001 Corporate

Department

70019178 Medical Group Coding & Education Services