What are the responsibilities and job description for the Ambulatory Coder Professional Billing, PRN, Days, - Remote position at Prisma Health?
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Job Summary
Responsible for validating / reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office / clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding / billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
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 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 Requirements
Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred
Experience - 2 years - Professional coding only
In Lieu Of
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
Work Shift
Day (United States of America)
Location
Oconee Medical Campus
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
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