9 cpc certified professional coder jobs found in Anderson, SC

Resolves complex coding scenarios. Provides feedback and documentation advice to the physician and practice management. Works with AR to resolve coding related denials. Serves as liaison between the practice and Physician Network Services and/or othe Coder, Outpatient, Patient, Healthcare

SUMMARY Resolves complex coding scenarios. Provides feedback and documentation advice to the physician and practice management. Works with AR to resolve coding related denials. Serves as liaison between the practice and Physician Network Services and/or other departments SPECIFIC DUTIES MAY INCLUDE: Reviews and codes complex operative procedures for all service lines Assist and direct specialty practices or other appropriate staff in surgical documentation, billing, coding, and reimbursement issues Assists in the auditing of all service lines Work in conjunction with billing staff on follow up and resolution of coding related denials and rejections Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, the Federal Register, and other pertinent materials QUALIFICATIONS Minimum education: must be high school graduate or...

Inspire Health. Serve With Compassion. Be The Difference. 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. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. 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. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Follows departmental policies for charge...

Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billi Billing, Coder, Professional, Ambulatory, Remote, High School, Healthcare, Business Services

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 Billing, Coder, Professional, Ambulatory, Remote, High School, Healthcare, Business Services

Title - Medical Coder Location - Greenville, SC 29605 Shift - Day 5x8-Hour (08:00 - 17:00) D escription: **remote role** **Candidate's must have 5+ years experience with either inpatient or outpatient experience** 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...

Inspire health. Serve with compassion. Be the difference. Job Summary Will consider applicants that only have a CPC certification and qualify only for Ambulatory Coder II position, PF0068. 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. Communicates with providers regarding coding denial issues. Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc. Serves as a subject matter expert for assigned specialty. Communicates with providers and team members regarding coding denial issues and trends. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Responsible for working coding claim denials accurately and...

A prominent healthcare organization is seeking an Ambulatory Coder II to validate coding and facilitate appeals for denied claims. The candidate will communicate with providers and ensure that documentation supports coding for appeals. Applicants should possess a CPC certification and five years of professional coding experience. Knowledge of payer guidelines and proficiency in coding software are crucial. This role supports the organization's mission to transform healthcare for the communities it serves. #J-18808-Ljbffr

Job Requirements Position Summary The coder will review documentation of providers and assign CPT codes, ICD10 codes, and modifiers for provider professional services. The coder is responsible for providing coding education to providers and completing daily billing functions. Other duties as assigned by Practice Manager. Minimum Requirements Education High School Diploma or equivalent Experience procedural and/or surgery coding experience License/Registration/Certifications Certified Coder-CPC or CCS-P Preferred Requirements Preferred Education Associate's Degree Preferred Experience 2 years billing/coding experience Preferred License/Registration/Certifications N/A Core Job Responsibilities Review provider documentation in the electronic medical record to identify incomplete documentation and communicate with provider for completion Assign appropriate ICD-10 and CPT codes Assign modifiers as appropriate Review and...