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Ambulatory Coder Professional Billing, FT, Days, - Remote

Prisma Health
Columbia, SC Remote Full Time
POSTED ON 2/20/2025
AVAILABLE BEFORE 4/20/2025

Inspire health. Serve with compassion. Be the difference.

Job Summary

"Interventional radiology experience strongly preferred". 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

  • 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 in order to determine correct codes. 15%

  • Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%

  • Participates in coding educational opportunities (webinars, in house training, etc.). 5%

  • Provides timely feedback to providers in order 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 Education
  • High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred

  • 2 years - Professional coding only

Minimum Experience

2 years - Professional coding only

In Lieu of Minimum Requirements

N/A

Required Certifications/Registrations/Licenses

Certified Professional Coder - CPC

Work Shift

Day (United States of America)

Location

Corporate

Facility

7001 Corporate

Department

70019178 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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