Ambulatory Coder III, Professional Billing
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Remote ambulatory coder validating CPT, ICD-10, and HCPCS codes for Prisma Health healthcare services. Supporting billing compliance, pre-billing 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
- Adhere to all coding and compliance guidelines
- Maintain knowledge of coding/billing updates and payer-specific coding guidelines
- Serve as a subject matter expert for assigned specialty
- Abstract/code for assigned providers/divisions based on medical record documentation
- Utilize coding software and coding resources to determine correct codes
- Communicate billing-related issues to the assigned supervisor/manager and participate in meetings to improve overall 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
- Assist in identifying 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
- Certified Professional Coder (CPC)
- Specialty Certification from AAPC that correlates with assigned specialty
- Five (5) years professional fee coding experience
- 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
- Associate degree preferred
Similar Jobs
Inpatient Corporate Coder
Inpatient coder abstracting clinical records and maintaining coding accuracy for Tenet Healthcare’s hospitals and care services. Reviewing flagged cases, audits, and second-level coding work.
Coding Specialist II – Profee General Pediatrics, Pediatric Hospitalist
Pro Fee coding specialist reviewing pediatric clinical records for Savista’s healthcare revenue-cycle services. Assigning ICD-10 and CPT/HCPCS codes and abstracting compliant billing data.
Ambulatory Coder III, Professional Billing
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.
Inpatient Corporate Coder
Inpatient coder abstracting clinical records and maintaining coding accuracy for Tenet’s hospitals and healthcare services platform. Reviewing flagged cases, audits, and patient documentation remotely across the US.
Coder – Radiology
Remote professional coder supporting OU Health’s Neuro Interventional Radiology revenue integrity. Applying advanced physician coding expertise across complex encounters, claims, denials, and audits.
Coder – Outpatient
Outpatient coder assigning diagnoses, procedures, and E/M codes for Ovation Healthcare. Supporting independent hospitals’ reimbursement, compliance, and quality reporting.
Medical Coder
Medical Coder reviewing E/M and healthcare claims for Cigna’s health services businesses. Ensuring accurate, compliant reimbursement coding across Emergency Department encounters.
Billing Coordinator I – Healthcare Billing Specialist
Billing Coordinator processing healthcare billing data for Labcorp’s diagnostic services. Verifying insurance, correcting demographics, and resolving billing defects remotely.
Medical Coder
Medical Coder supporting RELI Group’s government healthcare audits through accurate Medicare Part C and risk-adjustment record coding. Maintaining high accuracy, productivity, and PHI confidentiality.
Senior Medical Coding Auditor
Senior outpatient medical coding auditor reviewing claims, coding accuracy, and reimbursement compliance for Humana’s healthcare services. Supporting recovery, education, and payment-integrity strategies.
Senior Medical Coding Specialist
Senior Medical Coding Specialist leading clinical-trial medical coding at ICON, a global healthcare intelligence and research organization. Ensuring accurate, compliant data using MedDRA and WHO Drug Dictionary.
Coding Specialist III – Clinical Practice Services
Coding Specialist III managing CPT/ICD-10-CM coding, charge processing, and reimbursement issues for Medical College of Wisconsin. Supporting clinical departments, provider education, and billing accuracy remotely within Wisconsin.
OBGYN Medical Coder
OBGYN medical coder reviewing records and assigning ICD-10-CM and CPT-4 codes for U.S. healthcare clients. Supporting clinic, surgery, and professional fee/facility coding remotely.
OBGYN Medical Coder
OBGYN medical coder supporting U.S. healthcare systems with professional fee and facility clinic and surgery coding. Reviewing records, abstracting data, and assigning ICD-10-CM and CPT-4 codes.
Medical Coding, Reimbursement Specialist
Medical coding specialist supporting Guidehouse’s federal healthcare consulting programs. Developing and validating code sets, reimbursement rules, and claims-related workflows across clinical and analytics stakeholders.
Medical Coding and Reimbursement Specialist
Medical coding specialist supporting Guidehouse’s federal healthcare programs. Developing and validating code sets, reimbursement rules, and claims operations with clinical and analytics teams.
Surgery Coding Specialist
Outpatient surgery coding specialist reviewing clinical documentation and assigning ICD-10, CPT, and HCPCS codes. Supporting TEKsystems’ hospital coding services through Epic workflows and compliance standards.
Outpatient Profee Coder
Remote part-time outpatient profee coder abstracting physician services and diagnoses for Infinx, a healthcare revenue-cycle technology company. Correcting claims, applying ICD-10 coding, and supporting reimbursement accuracy for healthcare providers.
Coder – Inpatient
Inpatient medical coder assigning ICD-10-CM and ICD-10-PCS codes for Children’s pediatric hospital encounters. Reviewing records, abstracting data, and resolving missing documentation.
Cardiology Medical Coder
Remote Profee Cardiology Medical Coder supporting IKS Health’s medical-record coding services. Reviewing physician records and assigning cardiac diagnoses and procedures using ICD-10-CM and CPT.