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Ambulatory Coder Denials, FT, Days, - Remote

Company: Prisma Health
Location: Greenville
Posted on: March 17, 2023

Job Description:

Inspire health. Serve with compassion. Be the difference.Job SummaryResponsible for validating coding and facilitation of appeals process for all assigned denied professional service claims. All team members are expected to be knowledgeable of payer guidelines related to coding and appeal timelines.Accountabilities

  • Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals.
  • Utilizes appropriate coding software and coding resources in order to determine correct codes.
  • Follows departmental policies for charge corrections.
  • Participates in coding educational opportunities (webinars, in house training, etc.)
  • Provides timely feedback to providers or appropriate office liasion in order to clarify and resolve coding concerns.
  • Submits appeals for assigned payer and/or division.
  • Maintains knowledge of governmental and commercial payer guidelines.
  • Assists with Compliance Team and Coding Educators to identify areas that need additional training, if applicable.
  • Communicates billing related issues to assigned supervisor/manager.
  • Participates in A/R Meetings in order to improve overall billing when applicable.Minimum EducationAssociate's degree in related field of study or equivalent training/certification required.Minimum Experience2 years of experience in Professional Billing Coding or Combined Coding/BillingIn Lieu of the Minimum Requirements High School Diploma with 1 year coding or coding/billing experience in a professional billing setting. Licensure, Registry or Certification RequiredCertified Professional Coder for Professional Billing Work ShiftDay (United States of America)LocationIndependence PointeFacility1001 Corporate Services - UpstateDepartment10019178 Coding & EducationShare 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 Denials, FT, Days, - Remote, Other , Greenville, South Carolina

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