Ambulatory Coder II – Professional Billing
Posted 1hrs ago
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Job Description
Ambulatory coder reviewing CPT, ICD-10, HCPCS, and modifier codes for Prisma Health’s multi-specialty healthcare practices. Resolving billing edits and supporting compliant provider coding.
Responsibilities:
- Validate/review and assign applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings
- Adhere to coding and compliance guidelines
- Maintain knowledge of coding/billing updates and payer-specific coding guidelines for multi-specialty medical practices
- Resolve assigned pre-billing edits
- Communicate billing-related issues and participate in meetings to improve the overall billing process
- Provide feedback to providers to clarify and resolve coding concerns
- Assist in identifying areas needing additional training
- Perform other duties as assigned
Requirements:
- High School diploma or equivalent or post-high school diploma / highest degree earned
- Associate degree preferred
- Two (2) years professional coding experience
- Certified Professional Coder-CPC certification
- Knowledge of governmental and commercial payer guidelines
- Ability to utilize appropriate coding software and coding resources to determine correct codes
- Knowledge of office equipment (fax/copier)
- Proficient computer skills including word processing, spreadsheets, database
- Data entry skills
- Mathematical skills
Benefits:
- Part-time employment
- Remote work arrangement















