Ambulatory Coder III

🔥 20 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

💰 Grant on 2024-08

Healthcare

Prisma Health is a large integrated health system that operates hospitals, clinics, and related patient services in South Carolina and Tennessee. The organization employs nearly 32,000 people and focuses on providing clinical care, nursing and allied health services, and workforce training (e. g. , nurse residency programs), with an emphasis on patient-centered care and community health. The company posts career opportunities across administrative, clinical, technical, and support roles and highlights benefits, hiring events, and candidate resources on its careers site.

📋 Description

• 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. • 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. Associate degree preferred • Experience - Five (5) years professional fee coding experience • Required Certifications, Registrations, Licenses - 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

🏖️ Benefits

• Inspire health. Serve with compassion. Be the difference.