Ambulatory Coder III

🔥 1 minute ago

🌴 South Carolina – Remote

infoinfo

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Prisma Health

Prisma Health

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 • Abstract/code for assigned provider(s)/division(s) based on medical record documentation • Adhere to coding, compliance, departmental and payer-specific guidelines • Use appropriate 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 • 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 • 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

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