Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities

• Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS\u00A0 codes using official coding guidelines and CMS guidelines and prepares a summary of findings. - 30%

• Performs review of all coders within the department and prepares a summary of findings. - 30%

• Provides training to coders on identified issues found during reviews. - 10%

• Codes charges for professional billing based on review of clinical documentation. - 5%

• Identifies and assists management with the resolution of coding issues and process improvement. - 5%

• Assists in creating edits to prevent denials. - 5%

• Assists in creating a standardized process for front end coding including the development of training materials. - 5%

• Mentors and trains coders on correct coding guidelines. - 5%

• Interacts with other departments as needed to assist in resolving coding. - 5%

Supervisory/Management Responsibilities

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

Minimum Requirements

• Bachelor's Degree - Business or other related field

• 3 years - Multi-specialty Coding experience in professional billing

Required Certifications, Registrations, Licenses

• CPC Certified Professional Coder (AAPC) and

• CPMA Certified Professional Medical Auditor (AAPC)

Knowledge, Skills or Abilities

• Strong knowledge of medical terminology and basic anatomy and physiology with the ability to apply coding concepts to ensure correct coding. Strong analytical skills.

• Epic, Encoder Pro, 3M

• Ability to work independently and manage multiple projects consistently

• Basic computer skills

• Proficient computer skills (word processing, spreadsheets, database)

• Data entry

Work Shift

Location

Facility

Department

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.

Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities

• Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS\u00A0 codes using official coding guidelines and CMS guidelines and prepares a summary of findings. - 30%

• Performs review of all coders within the department and prepares a summary of findings. - 30%

• Provides training to coders on identified issues found during reviews. - 10%

• Codes charges for professional billing based on review of clinical documentation. - 5%

• Identifies and assists management with the resolution of coding issues and process improvement. - 5%

• Assists in creating edits to prevent denials. - 5%

• Assists in creating a standardized process for front end coding including the development of training materials. - 5%

• Mentors and trains coders on correct coding guidelines. - 5%

• Interacts with other departments as needed to assist in resolving coding. - 5%

Supervisory/Management Responsibilities

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

Minimum Requirements

• Bachelor's Degree - Business or other related field

• 3 years - Multi-specialty Coding experience in professional billing

Required Certifications, Registrations, Licenses

• CPC Certified Professional Coder (AAPC) and

• CPMA Certified Professional Medical Auditor (AAPC)

Knowledge, Skills or Abilities

• Strong knowledge of medical terminology and basic anatomy and physiology with the ability to apply coding concepts to ensure correct coding. Strong analytical skills.

• Epic, Encoder Pro, 3M

• Ability to work independently and manage multiple projects consistently

• Basic computer skills

• Proficient computer skills (word processing, spreadsheets, database)

• Data entry

Work Shift

Location

Facility

Department

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.