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Ambulatory Coder II, Professional Billing

Prisma Health

Responsible for validating, reviewing, and assigning applicable CPT, ICD-10, modifiers, and HCPCS codes for inpatient, outpatient, and physician office/clinic settings. Ensures adherence to all coding and compliance guidelines and maintains knowledge of coding, billing updates, and payer-specific coding guidelines for multi-specialty medical practices.

Communicates with providers and team members regarding coding issues, resolves assigned pre-billing edits, and helps improve the overall billing process.

Requirements & Qualifications

Minimum Requirements

  • High school diploma or equivalent, or post-high school diploma / highest degree earned; associate degree preferred
  • Two years of professional coding experience
  • Certified Professional Coder (CPC)

Knowledge, Skills, and Abilities

  • Knowledge of governmental and commercial payer guidelines
  • Ability to use coding software and coding resources to determine correct codes
  • Proficient computer skills, including word processing, spreadsheets, and databases
  • Data entry skills
  • Mathematical skills

Location

South Carolina, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

1 month ago

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