Ambulatory Coder III Remote

Coding Specialist Inspire health. Serve with compassion. Be the difference. 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.

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.

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

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

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

Day (United States of America)

1200 Colonial Life Blvd Facility Corporate Department Medical  Group Coding & Education Services

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.