Demo

Medical Coder

247Hire
Greenville, SC Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 4/24/2025

Job Description

Job Description

Location : Prisma Health Rheumatology Powdersville

Hours : Monday thru Friday 8a to 5p

Essential Functions

  • Validate / Review codes for assigned provider(s) / Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40%
  • Responsible for resolving all assigned pre-billing edits.15%
  • Utilizes appropriate coding software and coding resources to determine correct codes. 15%
  • Communicates billing related issues to assigned supervisor / manager and participates in Denial meetings to improve overall billing when applicable. 10%
  • Participates in coding educational opportunities (webinars, in house training, etc.). 5%
  • Provides timely feedback to providers to clarify and resolve coding concerns. 5%
  • Maintain knowledge of governmental and commercial payer guidelines. 5%
  • Assists with the Coding Education team to identify areas that need additional training. 5%
  • 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 - 2 years - Professional coding only
  • Required Certifications, Registrations, Licenses

  • Certified Professional Coder-CPC
  • Knowledge, Skills, and Abilities

  • Knowledge of office equipment (fax / copier)
  • Proficient computer skills including word processing, spreadsheets, database, and data entry
  • Mathematical skills
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