Ambulatory Coder III, FT, Days,

Prisma Health • Greenville, SC

1d

About The Position

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for inpatient, outpatient, and physician's office/clinic settings. The role adheres to coding and compliance guidelines, maintains knowledge of coding and billing updates and payer-specific guidelines, and serves as a subject matter expert for an assigned specialty. This is a non-management position that reports 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 that correlates 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.

Responsibilities

• Abstract and code assigned providers or divisions based on medical record documentation.
• 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 with training other coders and new team members.
• Perform other duties as assigned.

What This Job Offers

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