Ambulatory Coder Professional Billing, PRN, Days, - Remote

Inspire health. Serve with compassion. Be the difference.

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.

Job Description

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

NA

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

Independence Pointe

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.