Ambulatory Coder III, Professional Billing

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

📋 Description

• Extract and validate CPT, ICD-10, and HCPCS codes for inpatient, outpatient, and physician office/clinic environments.

• Comply with all coding and regulatory standards.

• Stay updated on coding/billing changes and payer-specific coding rules.

• Act as a subject matter expert in the designated specialty.

• Abstract/code for designated providers/divisions based on medical record documentation.

• Employ coding software and resources to identify accurate codes.

• Report billing-related issues to the assigned supervisor/manager and engage in meetings to enhance overall billing processes.

• Adhere to departmental policies regarding charge corrections.

• Engage in coding educational opportunities, such as webinars and in-house training.

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

• Resolve designated pre-billing edits.

• Assist in pinpointing areas that require additional training.

• Mentor and support the training of other coders and new team members.

• Carry out other assigned responsibilities.

⛳️ Requirements

• High School diploma or equivalent, or highest degree earned beyond high school.

• Certified Professional Coder (CPC) certification.

• Specialty certification from AAPC relevant to the assigned specialty.

• A minimum of five (5) years of experience in professional fee coding.

• Maintain awareness of governmental and commercial payer regulations.

• Familiarity with office equipment (fax/copier).

• Proficient in computer skills, including word processing, spreadsheets, and databases.

• Strong data entry skills.

• Solid mathematical abilities.

• Associate degree preferred.

🏝️ Benefits

• Competitive salary.

• Comprehensive health benefits.

• Retirement savings plan.

• Opportunities for professional development.

• Supportive work environment.