Ambulatory Coder III, Professional Billing, FT, Days,

Prisma HealthGreenville, South Carolina

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Overview

Schedule

Full-time

Education

Medical Coding (CCA, CCS, CCS-P, CPC)

Career level

Senior-level

Remote

On-site

Benefits

Career Development

Tuition/Education Assistance

Job Description

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 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.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
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.
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.

Supervisory/Management Responsibilities

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

Minimum Requirements

Education- High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience- Five (5) years professional fee coding experience

In Lieu Of

Required Certifications, Registrations, Licenses

Certified Professional Coder (CPC)
Specialty Certification from AAPC that correlates with assigned specialty

Knowledge, Skills and Abilities

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

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

Corporate

Department

Medical Group Coding & Education Services

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.

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FAQs About Ambulatory Coder III, Professional Billing, FT, Days, Jobs at Prisma Health

What is the work location for this position at Prisma Health?

This job at Prisma Health is located in Greenville, South Carolina, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Prisma Health?

Employer has not shared pay details for this role.

What employment applies to this position at Prisma Health?

Prisma Health lists this role as a Full-time position.

What experience level is required for this role at Prisma Health?

Prisma Health is looking for a candidate with "Senior-level" experience level.

What education level is required for this job?

The education requirement for this position is Medical Coding (CCA, CCS, CCS-P, CPC). Candidates with relevant qualifications or equivalent experience may also be considered.

What benefits are offered by Prisma Health for this role?

Prisma Health offers following benefits: Career Development and Tuition/Education Assistance for this position. Actual benefits may vary depending on the employer's policies and employment terms.

What is the process to apply for this position at Prisma Health?

You can apply for this role at Prisma Health either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.