Ambulatory Coder Professional Billing, FT, Days, - Remote

Davita Inc.; Columbia (SC); Remote; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare provider is seeking a professional coder to join the Medical Group Coding & Education Services team. The role involves validating and abstracting medical codes, adhering to coding guidelines, and resolving billing issues. Candidates with a CPC certification and at least two years of coding experience are preferred, offering an opportunity to contribute significantly to the transformation of healthcare delivery.

Qualifications

• 2 years of professional coding experience required.
• Certified Professional Coder (CPC) certification required.

Responsibilities

• Validate and review codes based on medical record documentation.
• Resolve assigned pre-billing edits.
• Utilize coding software to determine correct codes.

Skills

Coding compliance

Attention to detail

Communication

Education

High School diploma

Associate degree

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Interventional radiology experience strongly preferred. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines.

Accountabilities

• Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40%

• Responsible for resolving all assigned pre-billing edits.15%

• Utilizes appropriate coding software and coding resources in order to determine correct codes. 15%

• Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%

• Participates in coding educational opportunities (webinars, in house training, etc.). 5%

• Provides timely feedback to providers in order to clarify and resolve coding concerns. 5%

• Maintain knowledge of governmental and commercial payer guidelines. 5%

• Assists with the Coding Education team to identify areas that need additional training. 5%

• 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 Education

• High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred

• 2 years - Professional coding only

Minimum Experience

2 years - Professional coding only

In Lieu of Minimum Requirements

N/A

Required Certifications/Registrations/Licenses

Certified Professional Coder - CPC

Work Shift

Day (United States of America)

Location

Corporate

Facility

7001 Corporate

Department

70019178 Medical Group Coding & Education Services

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