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Our Purpose: Inspire health. Serve with compassion. Be the difference.
Ambulatory Coder Denials III
Location
South Carolina
Posted
116 days ago
Salary
0
Seniority
Senior
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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