Prisma Health

Inspire health. Serve with compassion. Be the difference.

Job Summary

Interventional radiology experience strongly preferred. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines.

Accountabilities

• Validate/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 Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education

• High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred
• 2 years - Professional coding only

Minimum Experience

2 years - Professional coding only

In Lieu of Minimum Requirements

N/A

Required Certifications/Registrations/Licenses

Certified Professional Coder - CPC

Work Shift

Day (United States of America)

Location

Corporate

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.