Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible 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 FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :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 membersPerforms other duties as assigned.Supervisory / Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum RequirementsEducation - High School diploma or equivalent or post-high school diploma / highest degree earned.Associate degree preferredExperience - Five (5) years professional fee coding experienceIn Lieu OfNARequired Certifications, Registrations, LicensesCertified Professional Coder (CPC)Specialty Certification from AAPC that correlates with assigned specialtyKnowledge, Skills and AbilitiesMaintain knowledge of governmental and commercial payer guidelines.Knowledge of office equipment (fax / copier)Proficient computer skills including word processing, spreadsheets, databaseData entry skillsMathematical skillsWork ShiftDay (United States of America)LocationBlount Memorial HospitalFacility7001 CorporateDepartment70019178 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..
Ambulatory Coder III, FT, Days, - Remote • Alcoa, TN, United States
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