[Hiring] Ambulatory Coder Professional Billing @170 Prisma Health

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description 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. • Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. • Adheres to all coding and compliance guidelines. • Responsible for resolving all assigned pre-billing edits. • Communicates billing related issues and participates in meetings to improve overall billing process. • Provides feedback to providers in order to clarify and resolve coding concerns. • Assists in identifying areas that need additional training. • Performs other duties as assigned. Qualifications • High School diploma or equivalent or post-high school diploma / highest degree earned. • Associate degree preferred. • Two (2) years professional coding experience. Requirements • Certified Professional Coder-CPC. • Maintains knowledge of governmental and commercial payer guidelines. • Participates in coding educational opportunities (webinars, in house training, etc.). • Ability to utilize appropriate coding software and coding resources in order to determine correct codes. • Knowledge of office equipment (fax/copier). • Proficient computer skills including word processing, spreadsheets, database. • Data entry skills. • Mathematical skills. Company Description 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference. Apply Job! Apply to this Job