Inspire health. Serve with compassion. Be the difference.
Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty.
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.
Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
Utilizes appropriate coding software and coding resources in order to determine correct codes.
Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
Follows departmental policies for charge corrections.
Participates in coding educational opportunities (webinars, in house training, etc.).
Provides feedback to providers in order to clarify and resolve coding concerns.
Resolves assigned pre-billing edits.
Assists in identifying areas that require additional training.
Mentors and assists in training other coders and new team members
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 - Five (5) years professional fee coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder (CPC)
Specialty Certification from AAPC that correlates with assigned specialty
Knowledge, Skills and Abilities
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
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
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.
Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our facilities in the Greenville and Columbia surrounding markets are dedicated to improving the health of all South Carolinians through improved clinical quality, access to care and patient experience, while also addressing the rising cost of health care.
Our Purpose: Inspire health. Serve with compassion. Be the difference.
