Ambulatory Coder Professional Billing, FT, Days, - Remote

Prisma Health; Greenville (SC); Remote; USD 45,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated coding professional to join their team. This role involves validating and reviewing medical codes, ensuring compliance with coding guidelines, and resolving billing issues. The ideal candidate will possess a strong understanding of CPT, ICD-10, and HCPCS codes, along with a commitment to continuous learning through educational opportunities. By joining this forward-thinking organization, you will play a crucial role in enhancing the billing process and supporting healthcare providers in delivering quality care. If you are passionate about coding and want to make a difference in healthcare, this position is for you.

Qualifications

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

Responsibilities

• Validate and review coding for assigned providers based on documentation.
• Communicate billing-related issues and participate in process improvement.

Skills

CPT Coding

ICD-10 Coding

HCPCS Coding

Data Entry

Mathematical Skills

Proficient Computer Skills

Education

High School Diploma

Certified Professional Coder (CPC)

Tools

Coding Software

Office Equipment

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible for validating, reviewing, and assigning applicable CPT, ICD-10, Modifiers, and HCPCS codes for inpatient, outpatient, and physician office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer-specific coding guidelines for multi-specialty medical practices. Communicates with providers and team members regarding coding issues.

Essential Functions

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

• Validates and reviews codes for assigned provider(s)/division(s) based on medical record documentation, adhering to all coding and compliance guidelines.

• Responsible for resolving all assigned pre-billing edits.

• Communicates billing-related issues and participates in meetings to improve the overall billing process.

• Provides feedback to providers to clarify and resolve coding concerns.

• Assists in identifying areas that need additional training.

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management role that reports to a supervisor, manager, director, or executive.

Minimum Requirements

• Education: High School diploma or equivalent; post-high school diploma or highest degree earned preferred.

• Experience: Two (2) years of professional coding experience.

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• Certified Professional Coder (CPC)

Knowledge, Skills, and Abilities

• Maintains knowledge of governmental and commercial payer guidelines.

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

• Ability to utilize appropriate coding software and resources to determine correct codes.

• Knowledge of office equipment (fax/copier).

• Proficient computer skills including word processing, spreadsheets, and databases.

• Data entry skills.

• Mathematical skills.

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

7001 Corporate

Department

70019178 Medical Group Coding & Education Services

Share your talent with us! Our vision is simple: to transform healthcare for the benefit of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.