Ambulatory Coder III, FT, Days,

Prisma Health


Job Location:

Seneca, SC - USA

Monthly Salary: Not Disclosed
Posted on: 2 days ago
Vacancies: 1 Vacancy

Job Summary

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 physicians 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 Healths 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.


Required Experience:

IC

Inspire health. Serve with compassion. Be the difference.Job SummaryResponsible for abstracting and validating CPT ICD-10 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...

About Company

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As South Carolina’s largest private, non-profit healthcare system, Prisma Health is here to create a better state of health for South Carolinians.

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