Ambulatory Coder Professional Billing, FT, Days, - Remote

Prisma Health; Greenville (SC); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated coding professional to ensure accurate coding practices across various medical settings. This role involves validating and reviewing CPT, ICD-10, and HCPCS codes, while adhering to compliance guidelines. The ideal candidate will have a strong understanding of coding regulations and the ability to communicate effectively with healthcare providers. Join a team committed to transforming healthcare and making a meaningful impact in the community. If you are passionate about coding and eager to contribute to a compassionate healthcare environment, this opportunity is perfect for you.

Qualifications

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

Responsibilities

• Validate and review coding for inpatient and outpatient settings.
• Communicate with providers regarding coding issues.

Skills

CPT Coding

ICD-10 Coding

HCPCS Coding

Billing Compliance

Data Entry

Mathematical Skills

Communication Skills

Education

High School Diploma

Associate Degree

Tools

Coding Software

Office Equipment

Word Processing Software

Spreadsheet Software

Database Software

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 physicians 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 practice(s). 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/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.

• Responsible for resolving all assigned pre-billing edits

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

• Provides feedback to providers in order 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 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 - Two (2) years 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 utilizes appropriate coding software and coding resources in order to determine correct codes.

• 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

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 benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.