Role Description You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. - Supervises professional fee coders for assigned departments (Primary Care or Specialty Care) for employed providers as well as designated PSA and other practices. - Key duties include, but are not limited to: - Coding, abstracting, and charge posting for physician services in the inpatient and outpatient settings. - Directly supervises coding and support staff. - Actively participates in managing charge lag by monitoring reports and work queue activity to meet and maintain established metrics. - Monitors staff quality and productivity, and provides additional education, as needed. - Recommends operational improvements and participates in the review of policies and procedures. - Works collaboratively with clinics and providers to resolve coding issues and questions. - Participates with management in personnel management, scheduling, productivity, quality, and problem resolution. - Works with coding managers and director to implement processes to improve professional fee coding operations. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama - Arizona - Arkansas - Colorado - Florida - Georgia - Idaho - Indiana - Iowa - Kansas - Kentucky - Louisiana - Missouri - Mississippi - Nebraska - New Mexico - North Carolina - Ohio - Oklahoma - South Carolina - South Dakota - Tennessee - Texas - Utah - Virginia - West Virginia - Wyoming Qualifications - Associates Degree Preferred - A minimum of 3 years of experience in health care and revenue cycle experience required within a physician practice. - Professional coding experience required. - 1 year of supervisory experience preferred. - Must demonstrate competency of professional coding and coding guidelines. - Experience with the electronic health record (EHR) and health care applications required. - CPC or CCS-P required - Certified Professional Medical Auditor Preferred Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is an intermediate coding position that codes and abstracts Outpatient records for data retrieval, analysis, reimbursement and research. Responsibilities include: - Codes and enters diagnostic and procedure codes into the designated coding and abstracting system utilizing the 3M encoder, as appropriate. - Meets quality and productivity coding standards. - Demonstrates the ability to navigate an EMR. - Ability to code designated outpatient type at any facility. Qualifications - High School Diploma Required - Associate Degree Preferred - A minimum of 2-year coding experience, preferably in an acute care setting, or Completion of the internal coding program - Must demonstrate competency of outpatient coding guidelines and APC assignment - Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems - Experience successfully working in a remote environment, preferred - Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credential (COC, CIC, CPC-H, CPC), required or must be certified within one year of hire. Requirements - Medium Work - exert/lift up to 50 lbs. force occasionally, and/or up to 20 lbs. frequently, and/or up to 10 lbs. constantly

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. Essential Functions - All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. - Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. - Responsible for resolving all assigned pre-billing edits - Communicates billing related issues and participates in meetings to improve overall billing process - Provides feedback to providers in order to clarify and resolve coding concerns. - Assists in identifying areas that need additional training. - 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 Requirements - Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred - Experience - Two (2) years professional coding experience In Lieu Of - NA Required Certifications, Registrations, Licenses - Certified Professional Coder-CPC Knowledge, Skills and Abilities - Maintains knowledge of governmental and commercial payer guidelines. - Participates in coding educational opportunities (webinars, in house training, etc.). - Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. - Proficient computer skills including word processing, spreadsheets, database - Data entry skills - Mathematical skills Work Shift Day (United States of America) Location Independence Pointe 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.

• Review/Analyze explanation of benefits (EOB), Remittance Advice, and Denials from Payers to drive resolution for account receivables. • Preparation and analysis of aging reports. • Use all channels available to resolve and collect account receivables with payers which includes but is not limited to utilizing payer portals and outbound calls to the provider desk. • Review or update claims corrections and uploads required documents in our clearinghouse portals. • Identifying underpayments and preparing documents for appeals. • Creating batches and post-received payments. • Code claims accordingly with CPT and ICD 10s codes. • Perform other duties assigned by the management. • Post charges to create a claim and submit it to our clearinghouses. • Contact patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals. • Ability to work well independently and communicate efficiently and respectfully with patients and insurance representatives. • Identify billing errors and denials, by understanding the problem and resubmit corrected claims or take other appropriate action to resolution.