Prisma Health · 14 hours ago

Ambulatory Coder Denials, FT, Days, - Remote

Greenville, SC

Full-time

Remote

Entry Level

2+ years exp

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Responsibilities

Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals.

Utilizes appropriate coding software and coding resources in order to determine correct codes.

Follows departmental policies for charge corrections.

Participates in coding educational opportunities (webinars, in house training, etc.).

Provides timely feedback to providers or appropriate office liaison in order to clarify and resolve coding concerns.

Submits appeals for assigned payer and/or division.

Maintains knowledge of governmental and commercial payer guidelines.

Assists with Compliance Team and Coding Educators to identify areas that need additional training, if applicable.

Communicates billing related issues to assigned supervisor/manager.

Participates in A/R Meetings in order to improve overall billing when applicable.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Certified Professional Coder-CPCProfessional coding experienceCoding software proficiencyPayer guidelinesBasic computer skillsOffice equipment knowledgeWord processing skillsSpreadsheet skillsDatabase skillsData entry skills