Ambulatory Coder III, Professional Billing

🕒 August 26

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 29%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Abstract and validate CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings • Adhere to all coding and compliance guidelines • Maintain knowledge of coding/billing updates and payer-specific coding guidelines • Serve as a subject matter expert for assigned specialty • Abstract/code for assigned providers/divisions based on medical record documentation • Utilize coding software and coding resources to determine correct codes • Communicate billing-related issues to the assigned supervisor/manager and participate in meetings to improve overall 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 • Assist in identifying 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 • Certified Professional Coder (CPC) • Specialty Certification from AAPC that correlates with assigned specialty • Five (5) years professional fee coding experience • 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 • Associate degree preferred