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Ambulatory Coder III, ENT
Prisma HealthResponsible for coding and abstracting medical records for Prisma Health. Ensuring compliance with coding guidelines and providing expertise in assigned specialty.
About the role
Key responsibilities & impact- 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.
- Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation.
- 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.
- Follows departmental policies for charge corrections.
- 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
What you’ll need- 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.
Benefits
Comp & perks- Inspire health.
- Serve with compassion.
- Be the difference.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingICD-10 codingHCPCS codingmedical record documentationcoding softwarebilling compliancecharge correctionspre-billing editscoding updatescoding resources
Soft Skills
communicationmentoringtrainingproblem-solvingfeedback provisionteam collaborationorganizational skillssubject matter expertiseparticipation in meetingsadaptability
Certifications
Certified Professional Coder (CPC)Specialty Certification from AAPC