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.Job DescriptionEssential FunctionsValidate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40%Responsible for resolving all assigned pre-billing edits.15%Utilizes appropriate coding software and coding resources in order to determine correct codes. 15%Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%Participates in coding educational opportunities (webinars, in house training, etc.). 5%Provides timely feedback to providers in order to clarify and resolve coding concerns. 5%Maintain knowledge of governmental and commercial payer guidelines. 5%Assists with the Coding Education team to identify areas that need additional training. 5%Performs other duties as assigned.Supervisory/Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum RequirementsEducation - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - PreferredExperience - 2 years - Professional coding onlyIn Lieu OfNARequired Certifications, Registrations, LicensesCertified Professional Coder-CPCKnowledge, Skills and AbilitiesKnowledge of office equipment (fax/copier)Proficient computer skills including word processing, spreadsheets, database and data entryMathematical skillsWork Shift Day (United States of America)Location Independence PointeFacility 7001 CorporateDepartment 70019178 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.
