[Hiring] Ambulatory Coder Professional Billing @170 Prisma Health

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Role Description

Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
• Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation.
• Adheres to all coding and compliance guidelines.
• Responsible for resolving all assigned pre-billing edits.
• Communicates billing related issues and participates in meetings to improve overall billing process.
• Provides feedback to providers in order to clarify and resolve coding concerns.
• Assists in identifying areas that need additional training.
• Performs other duties as assigned.

Qualifications
• High School diploma or equivalent or post-high school diploma / highest degree earned.
• Associate degree preferred.
• Two (2) years professional coding experience.

Requirements
• Certified Professional Coder-CPC.
• Maintains knowledge of governmental and commercial payer guidelines.
• Participates in coding educational opportunities (webinars, in house training, etc.).
• Ability to utilize appropriate coding software and coding resources in order to determine correct codes.
• Knowledge of office equipment (fax/copier).
• Proficient computer skills including word processing, spreadsheets, database.
• Data entry skills.
• Mathematical skills.

Company Description

Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

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