Prisma Health

Ambulatory Coder III, Orthopedics

Prisma Health

part-time

Posted on:

Location Type: Remote

Location: Remote • South Carolina • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • 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.
  • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
  • Follows departmental policies for charge corrections.
  • 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.
  • 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.
Benefits
  • Inspire health.
  • Serve with compassion.
  • Be the difference.
  • Coding educational opportunities (webinars, in house training, etc.)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
CPT codingICD-10 codingHCPCS codingfee codingdata entrymathematical skills
Soft skills
communicationmentoringproblem-solving
Certifications
Certified Professional Coder (CPC)Specialty Certification from AAPC