Prisma Health
10,000+ employees
⚕️ Healthcare Insurance
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.
Ambulatory Coder III
🕒 February 4
🌴 South Carolina – Remote
⏰ Full Time
🟡 Mid-level
🟠 Senior
🏥 Medical Billing and Coding
🦅 H1B Visa Sponsor
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Prisma Health
10,000+ employees
⚕️ Healthcare Insurance
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
• Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. • Adheres to all coding and compliance guidelines. • Maintains knowledge of coding/billing updates and payer specific coding guidelines. • Serves as a subject matter expert for assigned specialty. • Utilizes appropriate coding software and coding resources in order to determine correct codes. • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. • Participates in coding educational opportunities (webinars, in house training, etc.). • Provides feedback to providers in order to clarify and resolve coding concerns. • Resolves assigned pre-billing edits. • Assists in identifying areas that require additional training. • Mentors and assists in training other coders and new team members.
🎯 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
🏖️ Benefits
• health insurance • flexible work arrangements • professional development
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