Our Purpose: Inspire health. Serve with compassion. Be the difference.
Ambulatory Coder II Professional Billing, FT, Days, - Remote
Location
United States
Posted
4 days ago
Salary
Not specified
No structured requirement data.
Job Description
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.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.
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.
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 - Two (2) years professional coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder-CPC
Knowledge, Skills and Abilities
Maintains knowledge of governmental and commercial payer guidelines.
Participates in coding educational opportunities (webinars, in house training, etc.).
Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)Location
Independence PointeFacility
7001 CorporateDepartment
70019178 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.
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Prior Authorization Specialist
Franciscan Alliance, Inc.Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.
The Prior Authorization Specialist is tasked with obtaining prior authorization for various provider services, including outpatient and ancillary services, by verifying insurance coverage and collecting necessary clinical information to meet reimbursement standards. This role also involves compassionately communicating patient financial responsibilities like copayments and outstanding balances.
The role involves utilizing documentation from healthcare professionals to assign accurate medical codes, adhering to ethical coding standards set by AHIMA. Responsibilities include applying ICD-10-CM, CPT, or modifier codes to reflect patient visit documentation and managing coding workload independently.
MU Health Care is looking for a detail-oriented Medical Coding Specialist to join our team. As a crucial member of our healthcare family, the ideal candidate will possess a passion for precision and a commitment to maintaining the highest standards in medical coding. We value ind...
Authorization Coordinator I
Sutter HealthAn integrated network delivering accessible, high-quality, and life-saving healthcare when people need it most.
Processes referral requests for patients to achieve timely and accurate determinations. Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols. Maintains required turn...
