Ambulatory Coder III, Professional Billing

🕒 August 27

🌴 South Carolina – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 23%

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Logo of Prisma Health

Prisma Health

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

• Abstract and validate CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings • Abstract/code assigned providers/divisions based on medical record documentation • Adhere to coding and compliance guidelines • Use appropriate coding software and coding resources to determine correct codes • Communicate billing-related issues to supervisors/managers and participate in meetings to improve billing • Follow departmental policies for charge corrections • Participate in coding educational opportunities, including webinars and in-house training • Provide feedback to providers to clarify and resolve coding concerns • Resolve assigned pre-billing edits • Identify areas requiring additional training • Mentor and assist in training other coders and new team members • Perform other duties as assigned

🎯 Requirements

• High School diploma or equivalent or post-high school diploma / highest degree earned • Five (5) years professional fee coding experience • 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

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