<p style="text-align:left"><b>Inspire health. Serve with compassion. Be the difference.</b></p><p style="text-align:left"><u><b>Job Summary</b></u></p>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.<h3><u>Essential Functions</u></h3><ul><li><p>All team members are expected to be knowledgeable and compliant with <a href="https://himalayas.app/companies/prisma-health">Prisma Health</a>'s purpose: Inspire health. Serve with compassion. Be the difference.</p></li><li><p>Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.</p></li><li><p>Utilizes appropriate coding software and coding resources in order to determine correct codes.</p></li><li><p>Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.</p></li><li><p>Follows departmental policies for charge corrections.</p></li><li><p>Participates in coding educational opportunities (webinars, in house training, etc.).</p></li><li><p>Provides feedback to providers in order to clarify and resolve coding concerns.</p></li><li><h3>Resolves assigned pre-billing edits.</h3></li><li><p>Assists in identifying areas that require additional training. </p></li><li><p>Mentors and assists in training other coders and new team members</p></li><li><h3>Performs other duties as assigned.</h3></li></ul><p><b><u><b>Supervisory/Management Responsibilities</b></u></b></p><ul><li><p>This is a non-management job that will report to a supervisor, manager, director or executive.</p></li></ul><h3><u>Minimum Requirements</u></h3><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 - Five (5) years professional fee coding experience</p></li></ul><p><u><b>In Lieu Of</b></u></p><ul><li><h3>NA</h3></li></ul><p><b><u>Required Certifications, Registrations, Licenses</u></b></p><ul><li><h3>Certified Professional Coder (CPC)</h3></li><li><p>Specialty Certification from AAPC that correlates with assigned specialty</p></li></ul><h3><u>Knowledge, Skills and Abilities</u></h3><ul><li><p>Maintain knowledge of governmental and commercial payer guidelines.</p></li><li><p>Knowledge of office equipment (fax/copier)</p></li><li><p>Proficient computer skills including word processing, spreadsheets, database</p></li><li><h3>Data entry skills</h3></li><li><h3>Mathematical skills</h3></li></ul><p style="text-align:left"><u><b>Work Shift</b></u></p>Day (United States of America)<p style="text-align:left"><u><b>Location</b></u></p>Oconee Medical Campus<p style="text-align:left"><u><b>Fac