Ambulatory Coder, Professional Billing
Prisma Health
part-time
Posted on:
Location Type: Remote
Location: Remote • South Carolina • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- 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.
- 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.
Requirements
- High School diploma or equivalent or post-high school diploma / highest degree earned.
- Associate degree preferred
- Two (2) years professional coding experience
- Certified Professional Coder-CPC
- Maintains knowledge of governmental and commercial payer guidelines.
- Participates in coding educational opportunities (webinars, in house training, etc.).
- Ability to utilizes 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
Benefits
- Inspire health.
- Serve with compassion.
- Be the difference.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT codingICD-10 codingHCPCS codingcoding compliancebilling process improvementdata entrymathematical skillscoding software utilizationmedical record documentation reviewpre-billing edits resolution
Soft skills
communicationteam collaborationproblem-solvingfeedback provisiontraining identification
Certifications
Certified Professional Coder-CPC