Ambulatory Coder III, FT, Days, - Seneca - Prisma Health

    Prisma Health
    Prisma Health Seneca

    1 hour ago

    Description

    Inspire health. Serve with compassion. Be the difference.

    Job Summary

    Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty.

    Essential Functions

    • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
    • Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
    • Utilizes appropriate coding software and coding resources in order to determine correct codes.
    • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
    • Follows departmental policies for charge corrections.
    • Participates in coding educational opportunities (webinars, in house training, etc.).
    • Provides feedback to providers in order to clarify and resolve coding concerns.
    • Resolves assigned pre-billing edits.
    • Assists in identifying areas that require additional training.
    • Mentors and assists in training other coders and new team members
    • 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 - Five (5) years professional fee coding experience

    In Lieu Of

    • NA

    Required Certifications, Registrations, Licenses

    • Certified Professional Coder (CPC)
    • Specialty Certification from AAPC that correlates with assigned specialty

    Knowledge, Skills and Abilities

    • Maintain knowledge of governmental and commercial payer guidelines.
    • 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

    Oconee Medical Campus

    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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