Ambulatory Coder III

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Accountable for abstracting and validating CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and physician's office/clinic environments.

• Complies with all coding and regulatory standards.

• Keeps abreast of updates in coding/billing and payer-specific coding regulations.

• Acts as a subject matter expert for the designated specialty.

• Abstracts/codes for specific provider(s)/division(s) based on medical record documentation.

• Employs the appropriate coding software and resources to identify the correct codes.

• Communicates billing-related issues to the assigned supervisor/manager and engages in meetings to enhance overall billing, as necessary.

• Adheres to departmental protocols for charge corrections.

• Engages in coding educational opportunities (such as webinars and in-house training).

• Offers feedback to providers to clarify and address coding issues.

• Resolves designated pre-billing edits.

• Aids in pinpointing areas that need further training.

• Provides mentorship and support in training other coders and new team members.

⛳️ Requirements

• Minimum of five (5) years of professional fee coding experience.

• High School diploma or equivalent, or post-high school diploma/degree.

• Certified Professional Coder (CPC) credential.

• Specialty Certification from AAPC relevant to the assigned specialty.

• Maintain awareness of governmental and commercial payer guidelines.

🏝️ Benefits

• Health insurance

• Retirement plans

• Professional development