Ambulatory Coder Professional Billing, FT, Days, - Greenville, SC

Only for registered members Greenville, SC, United States

10 hours ago

Default job background
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 gu ...
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

Corporate

Facility

7001 Corporate

Department

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.



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