Ambulatory Coder Professional Billing, FT, Days, - Remote

Prisma Health; Columbia (SC); Remote; USD 45,000 - 75,000; Full time

Job summary

An established industry player is seeking a meticulous coding professional to join their team. In this role, you will be responsible for validating and abstracting medical codes in various settings, ensuring adherence to compliance guidelines. Your expertise in CPT, ICD-10, and HCPCS coding will be crucial in maintaining accurate billing processes. This position offers the opportunity to contribute to the transformation of healthcare while working alongside dedicated professionals. If you have a passion for coding and a commitment to excellence, this is the perfect opportunity to make a difference in the community.

Qualifications

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

Responsibilities

• Validate and review codes based on medical records to ensure compliance.
• Resolve pre-billing edits and communicate billing issues effectively.
• Participate in coding education opportunities to enhance skills.

Skills

Interventional radiology experience

CPT coding

ICD-10 coding

HCPCS coding

Billing compliance

Communication skills

Education

High School diploma or equivalent

Associate degree

Tools

Coding software

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

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

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.