<p>Inspire health. Serve with compassion. Be the difference.</p> <p>Job Summary</p> <p>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.</p> <p>Essential Functions</p> <ul> <li> <p>All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.</p> </li><li> <p>Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.</p> </li><li> <p>Utilizes appropriate coding software and coding resources in order to determine correct codes.</p> </li><li> <p>Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.</p> </li><li> <p>Follows departmental policies for charge corrections.</p> </li><li> <p>Participates in coding educational opportunities (webinars, in house training, etc.).</p> </li><li> <p>Provides feedback to providers in order to clarify and resolve coding concerns.</p> </li><li> <p>Resolves assigned pre-billing edits.</p> </li><li> <p>Assists in identifying areas that require additional training.</p> </li><li> <p>Mentors and assists in training other coders and new team members</p> </li><li> <p>Performs other duties as assigned.</p> </li></ul> <p>Supervisory/Management Responsibilities</p> <ul> <li>This is a non-management job that will report to a supervisor, manager, director or executive. </li></ul> <p>Minimum Requirements</p> <ul> <li> <p>Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred</p> </li><li> <p>Experience - Five (5) years professional fee coding experience</p> </li></ul> <p>In Lieu Of</p> <ul> <li>NA </li></ul> <p>Required Certifications, Registrations, Licenses</p> <ul> <li> <p>Certified Professional Coder (CPC)</p> </li><li> <p>Specialty Certification from AAPC that correlates with assigned specialty</p> </li></ul> <p>Knowledge, Skills and Abilities</p> <ul> <li> <p>Maintain knowledge of governmental and commercial payer guidelines.</p> </li><li> <p>Knowledge of office equipment (fax/copier)</p> </li><li> <p>Proficient computer skills including word processing, spreadsheets, database</p> </li><li> <p>Data entry skills</p> </li><li> <p>Mathematical skills</p> </li></ul> <p>Work Shift</p> <p>Day (United States of America)</p> <p>Location</p> <p>1200 Colonial Life Blvd</p> <p>Facility</p> <p>7001 Corporate</p> <p>Department</p> <p>70019178 Medical Group Coding & Education Services</p> <p>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.</p>