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Responsible for validating, reviewing, and assigning accurate CPT, ICD-10, and HCPCS codes for various medical settings. Communicates with providers to resolve coding issues and participates in billing process improvements.
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 values: 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.
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
Independence PointeFacility
CorporateDepartment
Medical Group Coding & Education ServicesShare 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.
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