Ambulatory Coder III, Professional Billing
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Job Description
Part-time remote ambulatory coder validating CPT, ICD-10, and HCPCS codes for Prisma Health. Supporting professional billing compliance, edits, provider feedback, and coder training.
Responsibilities:
- Abstract and validate CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings
- Abstract/code for assigned providers/divisions based on medical record documentation
- Adhere to coding and compliance guidelines
- Use appropriate coding software and coding resources to determine correct codes
- Communicate billing-related issues to the assigned supervisor/manager and participate in meetings to improve billing
- Follow departmental policies for charge corrections
- Participate in coding educational opportunities, including webinars and in-house training
- Provide feedback to providers to clarify and resolve coding concerns
- Resolve assigned pre-billing edits
- Identify areas requiring additional training
- Mentor and assist in training other coders and new team members
- Perform other duties as assigned
Requirements:
- High School diploma or equivalent or post-high school diploma / highest degree earned
- Five (5) years professional fee coding experience
- Certified Professional Coder (CPC)
- Specialty Certification from AAPC that correlates with assigned specialty
- 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
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