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Ambulatory Coder III

đŸ”„ 20 hours ago

🌮 South Carolina – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🩅 H1B Visa Sponsor

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đŸ‘» Ghost score 13%

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Logo of Prisma Health

Prisma Health

10,000+ employees

đŸ„ 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 ‱ Abstract and code for assigned providers/divisions based on medical record documentation ‱ Adhere to coding, compliance, departmental and payer-specific guidelines ‱ Use coding software and coding resources to determine correct codes ‱ Communicate billing-related issues to the assigned supervisor/manager and participate in meetings to improve billing ‱ Follow departmental policies for charge corrections ‱ 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 ‱ Serve as a subject matter expert for the assigned specialty ‱ Perform other duties as assigned

🎯 Requirements

‱ High School diploma or equivalent or post-high school diploma / highest degree earned ‱ Associate degree preferred ‱ 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

đŸ–ïž Benefits

‱ Participation in coding educational opportunities (webinars, in-house training, etc.) ‱ Mentoring and training opportunities ‱ Full-time employment ‱ Day shift

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