Ambulatory Coder III, FT, Days, - Remote

Prisma Health•Greenville, SC

2d•Remote

About The Position

The Ambulatory Coder III abstracts and validates CPT, ICD-10, and HCPCS codes for inpatient, outpatient, and physician office or clinic settings. The role follows coding and compliance guidelines, maintains knowledge of coding and billing updates and payer-specific coding guidance, and serves as a subject matter expert for an assigned specialty. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent, or post-high-school diploma / highest degree earned.
Five years of professional fee coding experience.
Certified Professional Coder (CPC) certification.
AAPC specialty certification correlating with the assigned specialty.
Maintain knowledge of governmental and commercial payer guidelines.
Knowledge of office equipment, including fax and copier.
Proficient computer skills, including word processing, spreadsheets, and databases.
Data entry skills.
Mathematical skills.

Nice To Haves

Associate degree preferred.

Responsibilities

Abstract and code for assigned providers or divisions based on medical record documentation, following coding and compliance guidelines.
Use appropriate coding software and resources to determine correct codes.
Communicate billing-related issues to the assigned supervisor or manager and participate in meetings to improve billing, when applicable.
Follow departmental policies for charge corrections.
Participate in coding education, including webinars and in-house training.
Provide feedback to providers to clarify and resolve coding concerns.
Resolve assigned pre-billing edits.
Assist in identifying areas that require additional training.
Mentor and assist in training other coders and new team members.
Perform other duties as assigned.