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Ambulatory Coder III, FT, Days, - Remote

Prisma Health

Role overview

Qualifications

  • High School diploma or equivalent
  • Five (5) years professional fee coding experience
  • Certified Professional Coder (CPC)
  • Specialty Certification from AAPC that correlates with assigned specialty

Responsibilities

  • Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation
  • Utilizes appropriate coding software and coding resources to determine correct codes
  • Communicates billing related issues to assigned supervisor/manager
  • Mentors and assists in training other coders and new team members

Key facts

Hard skills

CPT Coding ICD Coding (ICD-9/ICD-10) Programming Tools Billing Data Entry Office Equipment

Other skills

  • Analytical Skills
  • Mentorship
  • Training And Development
  • Communication
  • Teamwork

About the company

Prisma Health logo

Prisma Health

Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. The company has one Purpose: Inspire health. Serve with compassion. Be the difference. Prisma Health is comprised of two affiliates: Prisma Health–Upstate and Prisma Health– Midlands. Together they are dedicated to improving the health of all South Carolinians through improved clinical quality, access to care and patient experience, while also addressing the rising cost of health care. The affiliates are nationally recognized as some of the best places to work and to receive care. With more than 30,000 team members, physicians and volunteers, Prisma Health is the state’s largest private employer. Prisma Health works to improve the health of the local communities in the Midlands and Upstate regions through its community health programs. As one of the 50 largest health systems in the country, Prisma Health is committed to academic and clinical research excellence and focuses on educating the next generation of physicians, nurses, dentists and other medical professionals. The Prisma Health executive home office is in Greenville, South Carolina. For more information, visit www.prismahealth.org. ALERT: We will never request personal information and/or money in exchange for an interview and we do not conduct interviews via Google Meet or Google Chat. There have been reports of malicious people posing as Prisma Health hiring managers and conducting interviews with candidates via Google Meet or Google Chat. This is a phishing scam that could result in them taking your identity and/or money. Our hiring managers and recruiters do not conduct interviews via Google Meet or Google Chat. If you are contacted by someone claiming to be a Prisma Health team member, and they ask you to interview via a Google app, end communication immediately and report the action to the police.

Company details

Company typeXLarge
Company size10001

Links

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Job description

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

1200 Colonial Life Blvd

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.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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