Ambulatory Coder Professional Billing, PRN, Days,
About The Position
Inspire health. Serve with compassion. Be the difference. Job Summary 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. Job Description Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits.15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10% Participates in coding educational opportunities (webinars, in house training, etc.). 5% Provides timely feedback to providers in order to clarify and resolve coding concerns. 5% Maintain knowledge of governmental and commercial payer guidelines. 5% Assists with the Coding Education team to identify areas that need additional training. 5% Performs other duties as assigned.
Requirements
- Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
- Experience - 2 years - Professional coding only
- Certified Professional Coder-CPC
- Knowledge of office equipment (fax/copier)
- Proficient computer skills including word processing, spreadsheets, database and data entry
- Mathematical skills
Nice To Haves
- Associate degree
Responsibilities
- Validate/Review 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.
- Utilizes appropriate coding software and coding resources in order to determine correct codes.
- Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable.
- Participates in coding educational opportunities (webinars, in house training, etc.).
- Provides timely feedback to providers in order to clarify and resolve coding concerns.
- Maintain knowledge of governmental and commercial payer guidelines.
- Assists with the Coding Education team to identify areas that need additional training.
- Performs other duties as assigned.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
