Remote Ambulatory Coder III – CPC Expert

Prisma Health; Oregon; Hybrid; USD 65,000 - 95,000; Full time

Job summary

Prisma Health in Greenville Memorial Hospital seeks a skilled coder to abstract and validate CPT, ICD-10 and HCPCS codes across inpatient, outpatient and clinic settings. You will ensure compliance with coding guidelines and stay current with payer rules.

Key duties include coding based on documentation, using coding software, communicating issues to leadership, and mentoring junior coders. Requires CPC certification and an AAPC specialty credential with at least five years of professional fee

Qualifications

• CPC certification and AAPC specialty credential.
• Minimum five years of professional fee coding experience.
• Experience abstracting/validating CPT, ICD-10 and HCPCS codes in hospital, outpatient, and physician settings.
• Knowledge of government and commercial payer guidelines.

Responsibilities

• Abstracts/codes for assigned providers based on documentation.
• Uses coding software to determine correct codes.
• Communicates billing issues to supervisor and participates in meetings to improve billing.
• Follows departmental policies for charge corrections.
• Participates in coding educational opportunities.
• Provides feedback to providers to clarify coding concerns.
• Resolves assigned pre-billing edits.
• Mentors and assists in training other coders and new team members.
• Performs other duties as assigned.

Skills

Payer guidelines

Data entry

Computer skills

Education

High School Diploma

Associate degree preferred

Tools

Coding software

Job description

Prisma Health in Greenville Memorial Hospital seeks a skilled coder to abstract and validate CPT, ICD-10 and HCPCS codes across inpatient, outpatient and clinic settings. You will ensure compliance with coding guidelines and stay current with payer rules.

Key duties include coding based on documentation, using coding software, communicating issues to leadership, and mentoring junior coders. Requires CPC certification and an AAPC specialty credential with at least five years of professional fee