Prisma Health

Inspire health. Serve with compassion. Be the difference. Job Summary To code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. This position will perform Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. To code for multiple facilities....

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating coding and facilitation of appeals process for all assigned denied professional service claims. All team members are expected to be knowledgeable of payer guidelines related to coding and appeal timelines. Accountabilities * Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals. * Utilizes appropriate coding software and coding resources in order to determine correct codes. * Follows departmental policies for charge corrections. * Participates in coding educational opportunities (webinars, in house training, etc.) * Provides timely feedback to providers or appropriate office liasion in order to clarify and resolve coding concerns. * Submits appeals for assigned payer and/or division. * Maintains knowledge of governmental and commercial payer guidelines. * Assists with Compliance Team and Coding Educators to...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Accountabilities Abstracts/codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Follows departmental policies for charge corrections. Participates in coding educational opportunities (webinars, in house training, etc.) Provides timely feedback to providers in order to clarify and resolve coding concerns. Responsible for resolving all assigned pre-billing edits. Maintain knowledge of governmental and commercial payer guidelines. Assists with Compliance Team and Coding...