Ambulatory Coder II, Professional Billing

🔥 3 hours ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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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 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. • 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. Associate degree preferred • Experience - Two (2) years professional coding experience • Required Certifications, Registrations, Licenses - 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. • Proficient computer skills including word processing, spreadsheets, database • Data entry skills • Mathematical skills

🏖️ Benefits

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