Location: Remote - Prisma Health Rheumatology Powdersville Hours: Monday thru Friday 8a to 5p *Please note that anyone who is working as a risk adjustment coder or HCC coder and has no other experience would not be true professional coding experience. Those jobs only focus on diagnosis coding while pro fee coding involves CPT, Modifier, ICD-10 and understanding concepts like NCCI and LCD s. * Must have prior experience working temp assignments/contracts within agency contractor is being submitted from Must have own equipment to work from home with contract. (laptop , docking station) Must have CPC certification. Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits.15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10% Participates in coding educational opportunities (webinars, in house training, etc.). 5% Provides timely feedback to providers in order to clarify and resolve coding concerns. 5% Maintain knowledge of governmental and commercial payer guidelines. 5% Assists with the Coding Education team to identify areas that need additional training. 5% Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred Experience - 2 years - Professional coding only in medical office setting - Experience in Rheumatology highly preferred - EPIC experience required Required Certifications, Registrations, Licenses Certified Professional Coder-CPC Knowledge, Skills and Abilities Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database and data entry Mathematical skills
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