Inspire health.
Serve with compassion.
Be the difference.
Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.
Adheres to all coding and compliance guidelines.
Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
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.
* Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation.
Adheres to all coding and compliance guidelines.
* Responsible for resolving all assigned pre-billing edits * Communicates billing related issues and participates in meetings to improve overall billing process * Provides feedback to providers in order to clarify and resolve coding concerns.
* Assists in identifying areas that need additional training.
* 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 - Two (2) years professional coding experience In Lieu Of * NA Required Certifications, Registrations, Licenses * Certified Professional Coder-CPC Knowledge, Skills and Abilities * Maintains knowledge of governmental and commercial payer guidelines.
* Participates in coding educational opportunities (webinars, in house training, etc.). * Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
* Proficient computer skills including word processing, spreadsheets, database * Data entry skills * Mathematical skills Work Shift Day (United States of America) Location Corporate 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.