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. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews 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 Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in order to clarify and resolve coding concerns. Assists in identifying areas that need additional training. Performs other duties as assigned.

Requirements

  • Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
  • Experience - Two (2) years p rofessional coding experience
  • Certified Professional Coder-CPC
  • Maintains knowledge of governmental and commercial payer guidelines.
  • Participates in coding educational opportunities (webinars, in house training, etc.).
  • Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
  • Knowledge of office equipment (fax/copier)
  • Proficient computer skills including word processing, spreadsheets, database
  • Data entry skills
  • Mathematical skills

Nice To Haves

  • Associate degree p referred

Responsibilities

  • Validates/reviews 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
  • Communicates billing related issues and participates in meetings to improve overall billing process
  • Provides feedback to providers in order to clarify and resolve coding concerns.
  • Assists in identifying areas that need additional training.
  • Performs other duties as assigned.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Part-time

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service