Ambulatory Coder Professional Billing, FT, Days, - Remote - Prisma Health : Job Details

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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.

Accountabilities

• Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40%

• Responsible for resolving all assigned pre-billing edits.15%

• Utilizes appropriate coding software and coding resources in order to determine correct codes. 15%

• Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%

• 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%

• Maintain knowledge of governmental and commercial payer guidelines. 5%

• Assists with the Coding Education team to identify areas that need additional training. 5%

• 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

• High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred

• 2 years - Professional coding only

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• Certified Professional Coder-CPC

Knowledge, Skills and Abilities

• Knowledge of office equipment (fax/copier)

• Proficient computer skills including word processing, spreadsheets, database and data entry

• Mathematical skills

Work Shift

Day (United States of America)

Location

100 N Sumter St Sumter

Facility

7001 Corporate

Department

70019178 Medical Group Coding & Education Services

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