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Ambulatory Coder III, Cardio
Prisma HealthResponsible for abstracting and validating medical coding for Prisma Health. Ensures compliance with coding guidelines and serves as a subject matter expert.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CPT, ICD-10, and HCPCS coding for various healthcare settings, ensuring compliance with coding guidelines and payer requirements. Proficient in mentoring and training team members while maintaining up-to-date knowledge of coding practices and billing processes.
Highest-signal resume keywords
CPT CodingICD-10 CodingHCPCS CodingCertified Professional Coder (CPC)Specialty Certification from AAPC
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Professional Fee Coding ExperienceData Entry SkillsMathematical Skills
Soft Skills
Communication SkillsMentoring Skills
Tools & Technologies
Coding SoftwareOffice Equipment
Certifications & Qualifications
Certified Professional Coder (CPC)Specialty Certification from AAPC
Industry Keywords
Coding GuidelinesBilling CompliancePayer Guidelines
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.
- 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.
- Performs other duties as assigned.
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.
- 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
Comp & perks- Inspire health.
- Serve with compassion.
- Be the difference.