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Prisma Health logo
Prisma Health

Our Purpose: Inspire health. Serve with compassion. Be the difference.

Ambulatory Coder Denials III

Medical Billing and CodingMedical Billing and CodingOtherRemoteSeniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

South Carolina

Posted

116 days ago

Salary

0

Seniority

Senior

High School5 yrs expEnglish

Job Description

Ambulatory Coder Denials III

Prisma Health

• Responsible for validating coding and facilitation of appeals process for all assigned denied professional service claims • Communicates with providers regarding coding denial issues • Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals • Serves as a subject matter expert for assigned specialty • Communicates with team members regarding coding denial issues and trends • Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals • Follows departmental policies for charge corrections • Provides feedback to providers or appropriate office liaison in order to clarify and resolve coding concerns • Submits appeals for assigned payer and/or division

Job Requirements

  • High School Diploma or equivalent
  • Five (5) years professional coding and/or billing experience
  • Certified Professional Coder -CPC
  • CPMA or Specialty Coding Certification for assigned specialty
  • Knowledge of governmental and commercial payer guidelines
  • Proficient computer skills including word processing, spreadsheets, database
  • Data entry skills
  • Mathematical skills

Benefits

  • Inspire health
  • Serve with compassion
  • Be the difference

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