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Ambulatory Coder Professional Billing, FT, Days, - Remote

Company: Prisma Health
Location: Greenville
Posted on: June 10, 2024

Job Description:

],"stateCountry":"South Carolina, United States of America","jobFamilyGroupId":"Professional Group","reqId":"R1099030","jobId":"R1099030","refNum":"PRHEUS","profileId":"PF0068","atsCategory":"Professional Group","displayCareerSite":true,"jobUpdated":"2024-06-04T06:25:33.944Z","userType":"external","ml_country":"United States","primaryLocaleCategory":"Corporate","city":"Greenville","jobFamilyGroup":"Professional Group","visibilityLocale":["en_US"],"latitude":"34.85261759999999","hasSecondaryQuestionnaire":"yes","fesHash":"bb743d9ae35922cfc9d9f1a03f47484609097cfe3a7f05b944be28e370f15899","description":"Inspire health. Serve with compassion. Be the difference.Job SummaryResponsible 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.Accountabilities

  • Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40%
  • Utilizes appropriate coding software and coding resources in order to determine correct codes. 15%
  • 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%
  • Responsible for resolving all assigned pre-billing edits.15%
  • Maintain knowledge of governmental\u00A0 and commercial payer guidelines. 5%
  • Assists with the Coding Education team to identify areas that need additional training. 5%
  • Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%Supervisory/Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum Requirements
    • High School diploma or equivalent or post-high school diploma / highest degree earned
    • Associate Degree - Preferred
    • 2 years - Professional coding onlyRequired Certifications/Registrations/LicensesCertified Professional Coder-CPCRequired Knowledge & Skills
      • Basic computer skills
      • Knowledge of office equipment (fax/copier)
      • Proficient computer skills including word processing, spreadsheets, database and data entry
      • Mathematical skillsWork ShiftDay (United States of America)LocationIndependence PointeFacility7001 CorporateDepartment70019178 Medical Group Coding & Education ServicesShare 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.

Keywords: Prisma Health, Greenville , Ambulatory Coder Professional Billing, FT, Days, - Remote, Accounting, Auditing , Greenville, South Carolina

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