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