Ambulatory Coder Professional Billing, PRN, Days, - Remote

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

Job summary

Join a forward-thinking healthcare organization dedicated to transforming the industry. In this role, you will be responsible for validating and reviewing coding for various medical settings, ensuring adherence to compliance guidelines. You will utilize coding software and resources to determine correct codes, communicate with providers, and participate in educational opportunities to enhance your skills. This is a great opportunity for those passionate about healthcare coding and looking to make a difference in their community. If you are ready to contribute to a team that values compassion and excellence, this position is for you.

Qualifications

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

Responsibilities

• Validate and review coding for inpatient and outpatient settings.
• Resolve pre-billing edits and communicate coding issues.

Skills

Professional coding

Knowledge of office equipment

Proficient computer skills

Mathematical skills

Education

High School diploma or equivalent

Associate degree

Tools

Coding software

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

• 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 Requirements

• Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred
• Experience - 2 years - Professional coding only

Required Certifications, Registrations, Licenses

• Certified Professional Coder-CPC

Knowledge, Skills and Abilities

• Knowledge of office equipment (fax/copier)
• Proficient computer skills including word processing, spreadsheets, database and data entry
• Mathematical skills

Work Shift

Day (United States of America)

Location

Oconee Medical Campus

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.