[Hiring] Ambulatory Coder II @Prisma Health

Role Description

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.

• Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation.
• Adheres to all coding and compliance guidelines.
• Responsible for resolving all assigned pre-billing edits.
• Communicates billing related issues and participates in meetings to improve overall billing process.
• Provides feedback to providers in order to clarify and resolve coding concerns.
• Assists in identifying areas that need additional training.
• Performs other duties as assigned.

Qualifications

• Education: High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred.
• Experience: Two (2) years professional coding experience.
• Required Certifications: Certified Professional Coder-CPC.

Requirements

• Maintains knowledge of governmental and commercial payer guidelines.
• Participates in coding educational opportunities (webinars, in house training, etc.).
• Ability to utilize appropriate coding software and coding resources in order to determine correct codes.
• Knowledge of office equipment (fax/copier).
• Proficient computer skills including word processing, spreadsheets, database.
• Data entry skills.
• Mathematical skills.

Company Description

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.