The Part-Time Coding Advocate will handle medical coding and data entry / abstraction for various types of Hospital visits: Inpatient, Outpatient, Ambulatory, Surgery, Emergency and Special Procedures. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: - Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate assignment of the DRG. - Outpatient: Correctly assigns modifiers to chargemaster items and coder assigned CPT codes as applicable to outpatient coding, as appropriate. - Outpatient Surgery: Correctly assigns CPT codes to outpatient procedures consistent with client contract and documentation in the record. - Emergency Room: Correctly assign diagnosis codes, assign appropriate E&M facility and/or profee levels, assign infusion and injection CPT codes. - Ability to create compliant physician queries. - Accurately review claims for medical necessity. - Update problem lists consistent with client contract. - Correctly assign present on admission indicators. - Ability to provide excellent customer service to our clients and teammates. - Consistently demonstrates an excellent attitude, and works to strengthen the team as a whole. - Floats between multiple sites, and coding specialties with ease and flexibility. Minimum Requirements: Education/Experience/Certification Requirements - 2 year degree or equivalent experience; AHIMA or AAPC certification required - Actively holds one or more of the following credentials: RHIA, RHIT, CCS, CPC, COC - Minimum of 1 year experience coding inpatient/facility - CABG/Heart Cath accounts - Meets or exceeds Quality and Productivity standards. - Excellent communication (written and oral) and interpersonal skills. - Strong organizational, multi-tasking, and time-management skills. - Must be detail oriented and able to follow through on issues to resolution. - Must be able to act both independently, and as a team member. - Excellent communication (written and oral) and interpersonal skills. - Strong organizational, multi-tasking, and time-management skills. - Must be detail oriented and able to follow through on issues to resolution. - Must be able to act both independently and as a team member. Preferred Qualifications: - 2+ years of coding experience in multiple patient types - Experience coding and charging injections and infusions Business Support

• Monitor, review and apply correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. • Identify and apply diagnosis codes, CPT codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. • Ensure that billing discrepancies are held and corrected. • Compare and reconcile daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges and manual data entry. • Maintain records to be used for reconciliation and charge follow up. • Investigate and resolve charge errors. • Meet coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care. • Manage professional held claims within the CCF claims processing system. • Review, abstract and process services from surgical operative report. • Review, communicate and process physician attestation forms. • Communicate with physicians and other CCF departments (co-surgery) to resolve documentation discrepancies. • Assist with Evaluation and Management (E&M) audits and other reimbursement reviews. • Review and resolve E&M denials within the denial database. • Capture appropriate charges in accordance with CMS billing rules and regulations.

Inspire health. Serve with compassion. Be the difference. Job Summary Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities - Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information. - 40% - Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained. - 20% - Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter. - 10% - Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures. - 10% - Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc. - 10% - Communicates to patients their estimated financial responsibility. Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program. - 10% Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements High School Diploma or equivalent or post high school education 2 years- Admissions, Billing, Collections, Insurance and/or Customer Service Other Required Skills and Experience Basic computer skills Knowledge of office equipment (fax/copier) Word Processing Spreadsheets Database Data Entry Mathematical Skills Registration and scheduling experience- Preferred Familiarity with medical terminology- Preferred Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019073 PreAccess 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.

Role Description Healthcare Coding and Consulting Services (HCCS) is proud to offer multiple full-time opportunities for experienced and certified IP Facility Coders who want to make an impact coding for large, Level I trauma hospitals. As a family-owned business, we are committed to fostering long-term careers and supporting our coders with flexible schedules and the ability to work entirely remotely. Unlike many companies, we keep all of our operations within the United States and do not outsource coding offshore. At HCCS, our goal is to provide stability and a supportive work environment where you can grow, thrive, and build a lasting career. We are not a project-based or contract-driven organization—you will be a direct employee from day one. If you are ready to join a company that values professionalism, accuracy, and the dedication of its team members, apply now and become part of HCCS. Qualifications - Current coding certification from AHIMA or AAPC; CCS certification preferred. - Minimum of 3 years of experience in IP Facility coding. - Must have 3+ years of Spinal Fusion coding experience. - Must reside in the United States. - Please note this is not a Pro Fee coding position. Requirements - Job Type: Full-time Benefits - 401(k) - 401(k) matching - Dental insurance - Health insurance - Life insurance - Paid time off - Vision insurance Work Location - Remote