About the role
Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty.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.
- Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
- Utilizes appropriate coding software and coding resources in order to determine correct codes.
- Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
- Follows departmental policies for charge corrections.
- Participates in coding educational opportunities (webinars, in house training, etc.).
- Provides feedback to providers in order to clarify and resolve coding concerns.
- Resolves assigned pre-billing edits.
- Assists in identifying areas that require additional training.
- Mentors and assists in training other coders and new team members