Ambulatory Coder Professional Billing, FT, Days - Remote

Prisma Health Remote
ambulatory billing remote billing compliance training health team manager management healthcare abstracting hcpcs
January 24, 2023
Prisma Health
Columbia, South Carolina
Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines.

Accountabilities
  • Abstracts/codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
  • Utilizes appropriate coding software and coding resources in order to determine correct codes.
  • Follows departmental policies for charge corrections.
  • Participates in coding educational opportunities (webinars, in house training, etc.)
  • Provides timely feedback to providers in order to clarify and resolve coding concerns.
  • Responsible for resolving all assigned pre-billing edits.
  • Maintain knowledge of governmental and commercial payer guidelines.
  • Assists with Compliance Team and Coding Educators to identify areas that need additional training.
  • Communicates billing related issues to assigned supervisor/manager and participates in A/R meetings in order to improve overall billing when applicable.
  • Mentor and assist in training for other coders and new team members when applicable.
Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education

Highschool diploma

Minimum Experience

2 years of Professional Billing or combined Coding/Billing

In Lieu Of Minimum Requirements

Associate's degree with two years of professional billing, coding, or combined experience is preferred.

Required Certifications/Registrations/Licenses

Certified Professional Coder

Work Shift

Day (United States of America)

Location

1200 Colonial Life Blvd

Facility

1500 Midlands Corporate

Department

15009532 Clinical Documentation Improvement

Share your talent with us! 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.

R1065502

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