Inspire health. Serve with compassion. Be the difference.
Job Summary
Ensures all provider services are completely and accurately coded according to approved coding guidelines. Provides coding support to the providers and staff by performing periodic coding reviews, conducting various coding education and training sessions.
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.
Educates providers and coding staff within the physician practice setting on proper CPT, ICD-10 and HCPCS coding. Performs random reviews of physician charges to identify opportunities for charge capture, ICD-10 specificity and proper coding of all services rendered.
Reviews and responds to coding questions submitted by physicians and coding staff within a timely manner.
Communicates billing related issues to assigned supervisor/manager.
Shadows provider and coding staff to confirm coding is supported by medical record documentation and identify opportunities to improve upon documentation and coding.
Participates in workshops, seminars, webinars, and other educational opportunities to ensure continued learning. Maintain current certification(s) and working knowledge if ICD-10 and CPT coding guidelines.
Recommends changes to billing procedures to achieve compliance with applicable laws, rules and regulations.
Obtains and maintains instructor status for AAPC PMCC Coding Curriculum, if applicable. Coordinates class schedule and provides instruction for the PMCC Coding Curriculum offered by the AAPC, if applicable.
Maintains knowledge if state and federal regulatory guidelines related to proper coding.
Participates in meetings with Corporate Compliance in order to identify opportunities for improvement. Schedules education sessions with providers to provide education based on audit findings, if applicable.
Participates in A/R Meetings in order to improve overall coding when applicable.
Performs other duties as assigned.
Supervisory/Management Responsibilities
Minimum Requirements
In Lieu Of
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
Work Shift
Day (United States of America)
Location
1200 Colonial Life Blvd
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.