Ambulatory Coder III Professional Billing, FT, Days, - Remote
About The Position
Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Follows departmental policies for charge corrections. Participates in coding educational opportunities (webinars, in house training, etc.). Provides feedback to providers in order to clarify and resolve coding concerns. Resolves assigned pre-billing edits. Assists in identifying areas that require additional training. Mentors and assists in training other coders and new team members Performs other duties as assigned.
Requirements
- Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
- Experience - Five (5) years professional fee coding experience
- Certified Professional Coder (CPC)
- Specialty Certification from AAPC that correlates with assigned specialty
- Maintain knowledge of governmental and commercial payer guidelines.
- Knowledge of office equipment (fax/copier)
- Proficient computer skills including word processing, spreadsheets, database
- Data entry skills
- Mathematical skills
Nice To Haves
- Associate degree preferred
Responsibilities
- Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation.
- Adheres to all coding and compliance guidelines.
- Utilizes appropriate coding software and coding resources in order to determine correct codes.
- Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
- Follows departmental policies for charge corrections.
- Participates in coding educational opportunities (webinars, in house training, etc.).
- Provides feedback to providers in order to clarify and resolve coding concerns.
- Resolves assigned pre-billing edits.
- Assists in identifying areas that require additional training.
- Mentors and assists in training other coders and new team members
- Performs other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
