<p>Inspire health. Serve with compassion. Be the difference.</p> <p>Job Summary</p> <p>Job Profile Summary</p> <p>Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.</p> <p>Job Description</p> <p>Essential Functions</p> <ul> <li> <p>Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40%</p> </li><li> <p>Responsible for resolving all assigned pre-billing edits.15%</p> </li><li> <p>Utilizes appropriate coding software and coding resources in order to determine correct codes. 15%</p> </li><li> <p>Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%</p> </li><li> <p>Participates in coding educational opportunities (webinars, in house training, etc.). 5%</p> </li><li> <p>Provides timely feedback to providers in order to clarify and resolve coding concerns. 5%</p> </li><li> <p>Maintain knowledge of governmental and commercial payer guidelines. 5%</p> </li><li> <p>Assists with the Coding Education team to identify areas that need additional training. 5%</p> </li><li> <p>Performs other duties as assigned.</p> </li></ul> <p>Supervisory/Management Responsibilities</p> <ul> <li>This is a non-management job that will report to a supervisor, manager, director or executive. </li></ul> <p>Minimum Requirements</p> <ul> <li> <p>Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred</p> </li><li> <p>Experience - 2 years - Professional coding only</p> </li></ul> <p>Work Shift</p> <p>Day (United States of America)</p> <p>Location</p> <p>Independence Pointe</p> <p>Facility</p> <p>7001 Corporate</p> <p>Department</p> <p>70019178 Medical Group Coding & Education Services</p> <p>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.</p>