Ambulatory Coder III, FT, Days,

Prisma Health•Greenville, SC

21h

About The Position

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for inpatient, outpatient, and physician office/clinic settings. The role adheres to coding and compliance guidelines, maintains knowledge of coding and billing updates and payer-specific coding guidelines, and serves as a subject matter expert for an assigned specialty. The position abstracts and codes medical record documentation for assigned providers or divisions, resolves pre-billing edits, supports billing improvement, and provides feedback to providers to clarify coding concerns. It also assists with training and mentoring coders and new team members.

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 such as fax machines and copiers.
Proficient computer skills, including word processing, spreadsheets, and databases.
Data-entry skills.
Mathematical skills.

Nice To Haves

Associate degree preferred.

Responsibilities

Abstract and code medical record documentation for assigned providers or divisions.
Adhere to 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.
Help identify areas requiring additional training.
Mentor and assist in training other coders and new team members.
Perform other duties as assigned.