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
NA
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 PointeFacility
CorporateDepartment
Medical Group Coding & Education ServicesShare 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.
High school diploma or equivalent required; associate degree preferred. Requires five years of professional fee coding experience, CPC, and AAPC specialty certification correlating with the assigned specialty.
Key Responsibilities
- abstracting codes
- resolving edits
- mentoring coders
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — Greenville, South Carolina, United States
- Languages: English
About Prisma Health
The largest not-for-profit health organization in South Carolina, serving patients and communities through comprehensive healthcare services. — Industry: Healthcare