Ambulatory Coder Professional Billing, FT, Days, - Remote

Company: Prisma Health
Location: Greenville
Posted on: April 6, 2025

Job Description:

Inspire health. Serve with compassion. Be the difference.Job SummaryResponsible 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

• 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.Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.Minimum Requirements
    • Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred
    • Experience - 2 years - Professional coding onlyIn Lieu Of
      • NARequired Certifications, Registrations, Licenses
        • Certified Professional Coder-CPCKnowledge, Skills and Abilities
          • Knowledge of office equipment (fax/copier)
          • Proficient computer skills including word processing, spreadsheets, database and data entry
          • Mathematical skillsWork ShiftDay (United States of America)LocationIndependence PointeFacility7001 CorporateDepartment70019178 Medical Group Coding & Education ServicesShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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