Ambulatory Coder II Professional Billing, FT, Days, - Remote

Prisma Health • Greenville, SC

2d • Remote

About The Position

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.

Requirements

• High School diploma or equivalent or post-high school diploma / highest degree earned.
• Two (2) years professional coding experience.
• Certified Professional Coder-CPC.
• Maintains knowledge of governmental and commercial payer guidelines.
• Participates in coding educational opportunities (webinars, in house training, etc.).
• Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
• Proficient computer skills including word processing, spreadsheets, database.
• Data entry skills.
• Mathematical skills.

Nice To Haves

• Associate degree preferred.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED