Hospital Medicine Hybrid APP - Lake Norman
Charlotte, NC jobs
If it's possible, you will find it at Atrium Health-the leading community-focused academic healthcare system serving North Carolina, South Carolina, and Georgia. We invite Advanced Practice Providers to discover all that we can do when we bring healing hearts, inquisitive minds and progressive visionaries together in our Carolinas Hospital Group team at Atrium Health.
Position Highlights:
100% inpatient adult medicine.
Join our current team of 6 Physicians.
Hospital based practice with team-based panel of physicians and ACP providers
7 days on and 7 days off, or unless otherwise specified by the specific site
Call is not required
Procedures not expected
Designated clinical support staff including RNs and staff administrative assistants
Teaching opportunities with ACP students and ACP fellows
Eligible year-end bonus based on yearly physician/ACP team goals
Centralized professional support from the Center for Advanced Practice
$2500 of CME allowance
Candidate Qualifications:
Graduation from an accredited NP or PA program. Current license to practice as a NP or PA in North Carolina. Current prescriptive privileges and DEA license required. BLS for healthcare provider from AHA required.
Nurse practitioners are required to have a master's degree or doctorate in nursing practice. Certification as an Adult Acute care NP from a nationally recognized certifying body required.
Physician Assistants with master's degree and certification from the National Commission on Certification of Physician Assistants preferred.
2+ years of experience preferred.
Demonstrates appropriate critical thinking and interpersonal skills when working in a fast paced, complex hospital environment.
NC or SC Licensure, depending on practice locations
Nurse Practitioner Candidates:
Master's Degree or Doctor of Nursing Practice required. Acute care certification required.
License to practice as a Registered Nurse required.
Certification in the area of practice from a nationally recognized certifying body required.
ACNP, AGACNP, AGNP, PNP, or PNP-AC board certification preferred based population served.
Physician Assistant Candidates:
Graduate from an accredited Physician Assistant program required. Master's Degree preferred.
Certification from the National Commission on Certification of Physician Assistants preferred.
When you join Atrium Health, you will be welcomed into an inclusive culture that celebrates and respects the contributions a diverse team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally-renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, elevate hope and advance healing-for all.
Auto-ApplyRisk Adjustment Coder Professional Billing II, FT, Days, - Remote
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference. Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Conducts prospective review of charts to identify HCC opportunity.
* Conducts retrospective review of charts to confirm documentation supports reporting.
* Utilizes payor specific software to assist in capturing HCCs.
* Communicates with providers about HCC opportunities for improvement.
* Identifies suspect conditions that would potentially support reporting an HCC.
* Participates in education offerings
* Participates in monthly meetings
* 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 - Five (5) years professional fee coding experience
In Lieu Of
* NA
Required Certifications, Registrations, Licenses
* Certified Professional Coder (CPC), and
* Certified Risk Adjustment Coder (CRC)
Knowledge, Skills and Abilities
* Knowledge of office equipment (fax/copier)
* Proficient computer skills including word processing, spreadsheets, database
* Data entry skills
* Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Manager, ITS, Revenue Cycle Systems, Front, FT, Days, - Remote
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Provides leadership for the implementation, development and support of billing applications. Leads the day-to-day operations of the billing systems teams to include management of ongoing operations, financial management, customer service to internal customers, oversight for large scale projects, vendor management and contractual oversight for applications and systems in areas of responsibility.
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
Leads operational and strategic planning for revenue cycle systems, including budgeting, forecasting, and resource management
Ensures revenue cycle ITS initiatives support organizational goals and compliance standards.
Participates in and supports ITS governance committees focused on revenue cycle systems.
Collaborates with operational leaders to identify and analyze areas for improvement, ensuring alignment with business processes and strategic vision.
Key decision-maker for complex issues involving revenue cycle systems and workflows.
Partners with ITS and operational departments to define system requirements and implement solutions that enhance efficiency and customer service.
Develops and executes plans for financial systems strategy in coordination with leadership and governance structures.
Prepares and manages the annual operating budget for revenue cycle systems.
Builds and maintains vendor relationships to optimize pricing, service quality, and system performance.
Ensures compliance with industry standards, data security, and privacy regulations.
Performs other duties as assigned.
Supervisory/Management Responsibilities
Job has direct and/or indirect supervision of team members that may include final budget authority, hire/termination authority, performance appraisal responsibility and disciplinary authority. Job will be considered a member of management staff at Prisma Health or affiliate and will have direct reports.
Minimum Requirements
Education - Bachelor's degree in Computer Science, Information Technology, Business Administration, Healthcare Administration or related field of study
Experience - Five (5) years of experience in revenue cycle operations and/or healthcare information technology.
In Lieu Of
In lieu of the education and work experience noted above, an equivalent combination of work/academic experience may be considered (i.e., nine years related work experience OR Associate degree and seven years of related work experience OR Master's degree and three years of experience).
Required Certifications, Registrations, Licenses
Epic Certification preferred
Knowledge, Skills and Abilities
Computer skills including spreadsheets and databases
Leadership experience in healthcare revenue cycle operations
Large-scale project implementation experience (mergers & acquisitions, divestitures, joint venture partnerships, etc.)
Understanding of revenue cycle workflows and systems
Technical expertise in healthcare IT systems, especially EHR and billing platforms
Ability to manage cross-functional teams and vendor relationships
Strategic thinking and problem-solving skills
Communication and stakeholder engagement abilities
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70019419 ITS Financial Billing Systems
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Auto-ApplyPatient Financial Services Denials and Appeals Specialist, FT, Days, - Remote
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Responsible for the coordination and resolution of the administrative denials and appeals of the system-wide comprehensive denials and appeals management program. Performs the necessary audits to evaluate the revenue cycle process and educates Management Staff on issues impacting reimbursement.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Responsible for resolution of denied claims and/or initiate/manage/follow-up on reconsiderations/appeals in a timely manner. -
Monitors denial work queues and reports in accordance with assignments from direct supervisor and communicates all denial trends, denial increases, etc. to direct supervisor/PFS management in order to positively affect the volume of denials. Participates in departmental huddles and team meetings involving discussion of A/R processes and denial trends.
Maintains required levels of productivity and quality while managing tasks in work queues to ensure timeliness of follow-up and appeals.
Organizes denial/rejection related tasks to identify patterns and/or work most efficiently (e.g., by current procedural terminology, diagnosis, payer, etc.)
Identifies and monitors negative patterns in denials/rejections. Escalates accordingly to PFS management and the impacted department(s) to avoid negative impact on reimbursement, unsuccessful appeals, and/or increased write-offs.
Uses identified and known resources to accomplish follow-up on tasks. Identifies other means and resources to complete tasks, as applicable and appropriate. As needed, participates in A/R clean-up projects or other projects identified by direct supervisor or PFS management.
Comply with all government regulatory mandated requirements for billing and collections.
Works with other departments to resolve A/R and payer issues. Communicates with other departments on issues that may have negative impact on their cash flow, timely claim reconsideration/filing, failed appeals, and/or increased denials and write-offs.
Enters and documents appropriate accounts for adjustments utilizing the appropriate adjustment codes.
Identifies and researches all payer issues to the Payer SharePoint in a timely manner and continues to follow-up on said SharePoint information on a weekly basis.
Performs other duties as assigned.
Supervisory/Management Responsibility
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
Experience - Five (5) years hospital/physician billing office and/or healthcare revenue cycle experience
In Lieu Of
In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Bachelor's degree and two years of related work experience.
Required Certifications, Registrations, Licenses
Certified Revenue Cycle Analyst (CRCA) preferred
Knowledge, Skills and Abilities
Proficient computer skills (spreadsheets and excel pivot table skills)
Data entry skills
Mathematical skills
Medical terminology/ICD Coding
Knowledge of current trends and developments in the healthcare industry and specifically as it relates to denials/appeals through appropriate literature and professional development activities preferred
Self-motivation and ability to demonstrate initiative, excellent time management skills, and organizational capabilities and must be able to multi-task in a fast-paced environment and appropriately handle overlapping commitments and deadlines preferred
Ability to review/understand all pertinent information such as insurance carrier explanation of benefits, insurance carrier denial letters and electronic remits to ensure denials are worked in a timely manner and reconsideration/appeals for the denial claims are submitted appropriately preferred
Comprehensive understanding of remittance and remark codes preferred
Knowledge of payer edits, rejections, rules, and how to appropriately respond to each preferred
Working knowledge of UB-04 claim forms preferred
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019012 Patient Account Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Auto-ApplyClinical Coder IV/Acute Care - Medical Records
Charlotte, NC jobs
00153661
Employment Type: Full Time
Shift: Day
Shift Details: Monday-Friday 1st shift
Standard Hours: 40.00
Department Name: Medical Records
Location Details: Onboarding at Arrowpoint, after training able to work remote
Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth
Job Summary
To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership.
Essential Functions
Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes.
Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Reviews charges and Evaluation and Management levels.
Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance.
Abstracts coded data and other pertinent fields in the hospital electronic health record.
Ensures the accuracy of data input.
Meets established quality and productivity standards.
Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management.
Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Physical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.
Education, Experience and Certifications.
High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test.
At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.
As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.
Posting Notes: Not Applicable
Carolinas HealthCare System is an EOE/AA Employer
Nurse Navigator Manager - Atrium Health Hospital at Home Hybrid FT
Charlotte, NC jobs
Assesses, plans, coordinates, and evaluates the clinical and operational functions of a nursing unit to ensure quality, cost effective health care is provided by an educated and competent team. Promotes a safe environment and performs all related job responsibilities in a safe manner. Maintains clinical and professional competency as appropriate to the age, developmental stages, and special needs of the patients served.
Essential Functions
Continually demonstrates and supports a Professional Practice model that allows nurses to work in collaboration with interdisciplinary partners to achieve high quality patient outcomes.
Ensures that unit operations and employees are in compliance with the Nursing Practice Act, regulatory agency standards, and policies and procedures.
Functions as a team member to accomplish goals and objectives of the unit and the organization, upholding quality management, patient care, and departmental standards.
Assumes responsibility in the recruitment and retention of qualified staff and to ensure appropriate orientation, education, credentialing and continuing professional development of personnel through mutual goal setting and performance evaluation.
Delegates effectively by promoting shared governance, developing and nurturing research to positively affect clinical outcomes.
Performs nursing care, assists with treatments, therapies, procedures, and administers medications as necessary.
Provides and assesses effectiveness of patient and family education.
Participates with performance improvement activities to improve quality of nursing care, promote patient outcomes and provide a cost effective environment for patient care.
Assists in development of policies, procedures and standards reflective of evidence based practice.
Promotes shared accountability for professional practice.
Allocates resources to meet the unit needs. Responsible for budgetary oversight, and along with staff involvement, accountable to the organization for maintaining a cost effective unit.
Physical Requirements
Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak and understand English fluently. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient and / or unit/department conditions.
Education, Experience and Certifications
Graduate from an accredited School of Nursing required. Current RN licensure in appropriate state. Master of Science in Nursing (MSN) preferred. Must have or complete MSN if undergraduate degree is not BSN. Enrollment in MSN program within 1 year of hire/transfer date and graduation of MSN program required within 5 years of hire. If undergraduate degree is BSN, a Master's Degree from a health-related program or MBA is acceptable. Previous management experience preferred. BLS required per policy guidelines. Appropriate professional certification (either clinical or leadership) is required within 1 year of eligibility for professional certification exam. Additional education, training, certifications, or experience may be required within the department by the nurse leader.
Auto-ApplyCardiac Critical Care Hybrid APP- SHVI- Charlotte, NC
Charlotte, NC jobs
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Cardiac Critical Care Hybrid APP- SHVI- Charlotte, NC
Charlotte, NC, United States
Shift: 1st
Job Type: Regular
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Auto-ApplyRadiologist, Plain Films (Fully Remote, Flexible Hours)
Remote
Atlantic Health is seeking a skilled and dedicated Plain Film Radiologist to join our radiology team. This is a fully remote position ideally suited for candidates looking for work-life balance. Enjoy the flexibility of working from home while contributing to a high-performing, patient-centered organization. Hours are flexible and call is optional. Part time and full-time options are available.
Successful candidates will work with cutting-edge technology including multiple AI applications. As a Radiologist with Atlantic Health System, you will have access to a diverse patient population and a wide range of cases. We are committed to providing our patients with the highest quality care and are looking for radiologists who share our dedication to excellence.
Full-Time Salary Range: $300,000-$400,000 base salary only; excludes any quality and/or productivity incentives.
To learn more about this position and other opportunities with Atlantic Health System, please send your CV to Lori Velasco, Physician Recruiter at *******************************.
Qualifications:
Board-certified or board-eligible by the American Board of Radiology
Must be licensed or eligible for licensure in the State of New Jersey
Benefits
Competitive salary
Robust benefits with health, dental, Rx and vision plans
403b retirement plan with company match
Reimbursement for Relocation
Comprehensive Malpractice Policy
Non-Profit Health System - eligible for Federal Student Loan Forgiveness
Annual CME and Time Off incremental to PTO days
Full reimbursement for Boards and Licensing fees
Tuition reimbursement for Advanced Degrees
Voted “Great Place to Work “- 16 years strong!
Outstanding growth & mentorship opportunities
Qualifications
Board certified by the American Board of Radiology
Must be licensed or eligible for licensure in the State of New Jersey
Auto-ApplyHybrid APP- Sanger Heart & Vascular Institute- Shelby, NC
Shelby, NC jobs
If it's possible, you will find it at Atrium Health-the leading community-focused academic healthcare system serving North Carolina, South Carolina and Georgia. We invite experienced APPs to discover all that we can do when we bring healing hearts, inquisitive minds and visionaries together.
Sanger Heart & Vascular Institute (SHVI) is currently seeking experienced, full-time Advanced Practice Providers to join the inpatient/outpatient team at Atrium Health in Shelby, NC.
CARDIOLOGY AGACNP or PA:
Evaluate new patients, consults, and established patients from the ER and on the cardiovascular service as well as diagnose, treat and manage common conditions in the cardiovascular population
Perform an appropriate history and physical exam, write emergent progress notes, assess and prepare patient workups, and follow core measures for documentation including hospital and 3
rd
party payer requirements and appropriate patient care
Facilitate and order diagnostic studies including echocardiograms, stress tests, MRIs, CTs, and cardiac catheterization if indicated
Triage calls from outside facilities regarding cardiovascular patients
Order appropriate laboratory studies and diagnostic procedures. Explained necessity, preparation, and risks and benefits of scheduled diagnostics and therapeutic procedures to the patient and family
Has the ability to recognize emergency situations and respond appropriately
Participate in evaluations with the primary supervising physician as directed by State laws
Maintain ACLS and BLS certification as well as all licenses and certifications as mandated by the Hospital Credentialing Committee
Exhibits respect for others by displaying a positive, courteous attitude at all times
Participates in staff meetings, in-services, and continuing education for job related growth
Education, Experience and Certifications
Graduation from an accredited NP or PA program. Current license to practice as a NP or PA in North Carolina. Current prescriptive privileges and DEA license required. BLS/ACLS Certified.
Nurse practitioners are required to have Acute Care Certification
Physician Assistants with certification from the National Commission on Certification of Physician Assistants required.
At least 1 years of experience in the PA or NP role in an acute care setting and/or Cardiology preferred
Superb communication skills, and a passion for program development and collaboration
Sanger Heart & Vascular Institute is one of the Southeast's largest cardiac and vascular programs providing the highest quality care available to patient with cardiovascular disease throughout North and South Carolina. SHVI employs more than 110 physicians in a network of more than 25 locations to provide the highest quality care available to patient with cardiovascular disease throughout North and South Carolina. SHVI has more than 50 years of experience in providing world-class, comprehensive acute and chronic cardiovascular services including the region's only heart transplant center and pediatric heart surgery program.
When you join Atrium Health, you will be welcomed into a culture that celebrates and respects the contributions a team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally-renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, and redefine care for all.
Auto-ApplyDosimetrist - FT, Days (hybrid)
Columbia, SC jobs
Inspire health. Serve with compassion. Be the difference. Come join the Prisma Health team! We offer the following: * Sign on Bonus In collaboration with the medical physicist and radiation oncologist, designs a treatment plan by means of computer and/or manual computation to determine a treatment field technique that will deliver a prescribed radiation dose. Uses CT, MRI, PET, ultrasound, plane film, and fluoroscopy imaging to create and verify therapy portals. Performs patient specific quality assurance techniques under the direction of the physicist.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Independently creates radiation therapy treatment plans using computer software and various imaging modalities.
* Interprets and delineates anatomy and anatomical positioning on various imaging modalities.
* Performs or assists in the planning of the fabrication of compensation filters, custom shields, wedges, and other beam modifying devices.
* Performs or assists in the planning of the production of molds, casts, and other immobilization devices.
* Supervises the therapist staff in the implementation of the treatment plan including: the correct use of immobilization devices, compensators, wedges, field arrangement, and other treatment variables.
* Accurately documents treatment planning and quality assurance tasks.
* Accurately codes for technical treatment planning and quality assurance tasks.
* Performs general computerized tasks, such as word processing, using spreadsheets, moving and altering files and directories, and performing data backup.
* May assist in intracavitary and interstitial brachytherapy procedures and in the subsequent manual and/or computer calculation of the dose distributions of these treatments.
* May perform quality assurance procedures on treatment planning system, linear accelerator, and brachytherapy device with minimal supervision.
* Provides physics and technical support to the Medical Physicist, in radiation protection, qualitative machine calibrations, and quality assurance of the radiation oncology equipment.
* Teaches applied aspects of medical dosimetry to students and residents, as assigned.
* Performs other duties as assigned.
Supervisory/Management Responsibilities
* This is a non-management job that will report to a supervisor, director or executive.
Minimum Requirements
* Education - Graduate of a formal Dosimetry program. Bachelor's Degree preferred
* Experience - Two (2) years of directly related experience preferred
In Lieu Of
* In lieu of CMD certification requirement, will consider candidates who agree to obtain CMD-Certified Medical Dosimetrist credentials within 18 months of hire. In lieu of formal Dosimetry program, 15 years of Dosimetry experience can be substituted.
Required Certifications, Registrations, Licenses
* Certified Medical Dosimetrist (CMD) required.
Knowledge, Skills and Abilities
* Knowledge of office equipment (fax/copier)
* Proficient computer skills (word processing, spreadsheets, database)
* Data entry skills
Work Shift
Day (United States of America)
Location
7 Medical Park Rd Richland
Facility
1510 Richland Hospital
Department
15097151 Physics/Dosimetry - CIR
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Ambulatory Coder Professional Billing, PRN, Days, - Remote
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
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/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.Job Description
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 Lieu Of
NA
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
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Auto-ApplyHYBRID Diagnostic/Procedural Radiology Physician - UNC Nash
Rocky Mount, NC jobs
**HYBRID role: Diagnostic Radiologists at UNC Nash Hospital in Rocky Mount, NC** UNC Health is currently seeking full-time & PRN Diagnostic/Procedural Radiologists to work at UNC Nash Hospital in Rocky Mount, NC- only 1 hour from Raleigh and The Triangle area.
This radiologist will perform procedures in the radiology department, as well as covering in the ED and performing outpatient work.
**Position Information:**
+ Recruiting for a team of Interventional Radiologists, Diagnostic Radiologists and Breast-Imaging Radiologists to work Monday through Friday, dayshift.
+ Scheduling Cycle: 2 weeks ONSITE; 1 week REMOTE & 4th week OFF
**Benefits & Financial Highlights:**
+ Health-system employed provider, with access to and resources through the School of Medicine's Department of Radiology
+ Comprehensive benefits package including, medical, dental, vision, disability, group life, flexible spending account, 403b & more
+ Competitive Compensation Package; Sign-on bonus and relocation assistance. Paid Time Off; CME time & allowance; malpractice coverage; PTO; CME time & allowance; malpractice coverage
+ Potential for student loan repayment with service commitment
**Qualifications:**
+ MD/DO & BE/BC in Diagnostic Radiology
**About Rocky Mount, NC:**
+ Vibrant community with a diverse economy, historic roots, and college town charm
+ Centrally located in North Carolina along Interstate 95 approximately one hour from the state capital of Raleigh. One-hour from Greenville and less than 2 hours from Durham, Chapel Hill, and Richmond, VA
+ Easy driving access to North Carolina beaches (approximately 2 hours) and NC Mountains (approximately 4 hours)
+ The city has several parks and green spaces with an abundance of outdoor recreation including kayaking, canoeing, walking/biking trails, boat ramps, outdoor pools, parks, community gardens, music festivals, craft breweries, golf, and more.
**Contact:**
Erin Hill, ***************************
Job Details
Legal Employer: NCHEALTH
Entity: UNC Health Medical Group
Organization Unit: UNC Health Nash Imaging
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Rocky Mount
Exempt From Overtime: Exempt: Yes
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Easy ApplyHealth Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC jobs
Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs 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. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership.
* Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines.
* Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding.
* Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding.
* Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns
* Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.
* 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 - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.
* Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
* In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
* Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills and Abilities
* Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality.
* Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
* Knowledge of electronic medical records and 3M or Encoder System.
* Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
* Knowledge of MS DRG prospective payment system and severity systems.
* Ability to concentrate for extended periods of time.
* Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
5 Medical Park Rd Richland
Facility
7001 Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Conducts prospective review of charts to identify HCC opportunity.
Conducts retrospective review of charts to confirm documentation supports reporting.
Utilizes payor specific software to assist in capturing HCCs.
Communicates with providers about HCC opportunities for improvement.
Identifies suspect conditions that would potentially support reporting an HCC.
Participates in education offerings
Participates in monthly meetings
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 - Five (5) years professional fee coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder (CPC), and
Certified Risk Adjustment Coder (CRC)
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Auto-ApplyDosimetrist - FT, Days (hybrid)
Columbia, SC jobs
Inspire health. Serve with compassion. Be the difference.
Come join the Prisma Health team! We offer the following: • Sign on Bonus In collaboration with the medical physicist and radiation oncologist, designs a treatment plan by means of computer and/or manual computation to determine a treatment field technique that will deliver a prescribed radiation dose. Uses CT, MRI, PET, ultrasound, plane film, and fluoroscopy imaging to create and verify therapy portals. Performs patient specific quality assurance techniques under the direction of the physicist.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Independently creates radiation therapy treatment plans using computer software and various imaging modalities.
Interprets and delineates anatomy and anatomical positioning on various imaging modalities.
Performs or assists in the planning of the fabrication of compensation filters, custom shields, wedges, and other beam modifying devices.
Performs or assists in the planning of the production of molds, casts, and other immobilization devices.
Supervises the therapist staff in the implementation of the treatment plan including: the correct use of immobilization devices, compensators, wedges, field arrangement, and other treatment variables.
Accurately documents treatment planning and quality assurance tasks.
Accurately codes for technical treatment planning and quality assurance tasks.
Performs general computerized tasks, such as word processing, using spreadsheets, moving and altering files and directories, and performing data backup.
May assist in intracavitary and interstitial brachytherapy procedures and in the subsequent manual and/or computer calculation of the dose distributions of these treatments.
May perform quality assurance procedures on treatment planning system, linear accelerator, and brachytherapy device with minimal supervision.
Provides physics and technical support to the Medical Physicist, in radiation protection, qualitative machine calibrations, and quality assurance of the radiation oncology equipment.
Teaches applied aspects of medical dosimetry to students and residents, as assigned.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, director or executive.
Minimum Requirements
Education - Graduate of a formal Dosimetry program. Bachelor's Degree preferred
Experience - Two (2) years of directly related experience preferred
In Lieu Of
In lieu of CMD certification requirement, will consider candidates who agree to obtain CMD-Certified Medical Dosimetrist credentials within 18 months of hire. In lieu of formal Dosimetry program, 15 years of Dosimetry experience can be substituted.
Required Certifications, Registrations, Licenses
Certified Medical Dosimetrist (CMD) required.
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills (word processing, spreadsheets, database)
Data entry skills
Work Shift
Day (United States of America)
Location
7 Medical Park Rd Richland
Facility
1510 Richland Hospital
Department
15097151 Physics/Dosimetry - CIR
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Physician, Remote Radiologists for Evening Shift, all locations
Morristown, NJ jobs
Atlantic Health System is Seeking Remote Radiologists for Evening Shifts - 122 to133 Shifts Annually
The Radiology Division at Atlantic Health System is currently seeking highly skilled and motivated radiologists to join their well-established team as remote radiologists. This is a work-from home position, and all equipment will be provided by Atlantic Health System. We are currently seeking radiologists for swing shift positions (typically 3p-midnight but negotiable) as well as overnight positions (10p-8a). Enjoy tremendous work-life balance at a highly competitive salary.
Successful candidates will work with state-of-the-art equipment and cutting-edge technology in a collaborative and supportive environment. As a radiologist with Atlantic Health System, you will have access to a diverse patient population and a wide range of diagnostic cases. We are committed to providing our patients with the highest quality care and are looking for radiologists who shares our dedication to excellence.
As a remote radiologist with Atlantic Health System, you will support the following hospitals:
Morristown Medical Center is a 735-bed tertiary, research and academic medical center located in Morristown, NJ. The imaging department produces over 400,000 exams in, CT, MR, Pediatrics, IR, US, NM/PET, plain films, & Breast Imaging for ED, IP and several OP sites.
Overlook Medical Center is a 504-bed tertiary referral center for neurosurgery, nonprofit teaching medical center located in Summit, New Jersey. The imaging department produces over 200,000 exams in CT, MR, pediatrics, IR, US, NM/PET, plain films & Breast imaging.
Chilton Medical Center has been ranked the top mid-sized hospital in NJ for seven years in a row, according to Castle Connolly. The Leapfrog Group gave us an "A" Hospital Safety Grade and we've received the Lifeline Bronze Receiving Quality Achievement Award from the American Heart Association. The imaging department produces over 130,000 exams per year in CT, MR, pediatrics, IR, US, NM/PET, plain films & Breast imaging.
If interested, please send your CV to Lori Velasco, Physician Recruiter, at ******************************* or apply.
Salary Range:
$450,000-$650,000 base salary only; excludes any quality and/or productivity incentives
Benefits
Excellent compensation with sign on bonus!
Robust benefits with health, dental, Rx and vision plans
457 plans offered to physicians, as well as 403b retirement plan with company match
Reimbursement for Relocation
Comprehensive Malpractice Policy
Non-Profit Health System - eligible for Federal Student Loan Forgiveness
$3500 towards annual CME
Full reimbursement for Boards and Licensing fees
Tuition reimbursement for Advanced Degrees
Outstanding growth & mentorship opportunities
Please apply to learn more about this opportunity.
Auto-ApplyHYBRID Diagnostic/Procedural Radiology Physician - Per Diem - UNC Nash
Rocky Mount, NC jobs
**HYBRID role: Diagnostic Radiologists at UNC Nash Hospital in Rocky Mount, NC** UNC Health is currently seeking full-time & PRN Diagnostic/Procedural Radiologists to work at UNC Nash Hospital in Rocky Mount, NC- only 1 hour from Raleigh and The Triangle area.
This radiologist will perform procedures in the radiology department, as well as covering in the ED and performing outpatient work.
**Position Information:**
+ Recruiting for a team of Interventional Radiologists, Diagnostic Radiologists and Breast-Imaging Radiologists to work Monday through Friday, dayshift.
+ Scheduling Cycle: 2 weeks ONSITE; 1 week REMOTE & 4th week OFF
**Benefits & Financial Highlights:**
+ Health-system employed provider, with access to and resources through the School of Medicine's Department of Radiology
+ Comprehensive benefits package including, medical, dental, vision, disability, group life, flexible spending account, 403b & more
+ Competitive Compensation Package; Sign-on bonus and relocation assistance. Paid Time Off; CME time & allowance; malpractice coverage; PTO; CME time & allowance; malpractice coverage
+ Potential for student loan repayment with service commitment
**Qualifications:**
+ MD/DO & BE/BC in Diagnostic Radiology
**About Rocky Mount, NC:**
+ Vibrant community with a diverse economy, historic roots, and college town charm
+ Centrally located in North Carolina along Interstate 95 approximately one hour from the state capital of Raleigh. One-hour from Greenville and less than 2 hours from Durham, Chapel Hill, and Richmond, VA -
+ Easy driving access to North Carolina beaches (approximately 2 hours) and NC Mountains (approximately 4 hours)
+ The city has several parks and green spaces with an abundance of outdoor recreation including kayaking, canoeing, walking/biking trails, boat ramps, outdoor pools, parks, community gardens, music festivals, craft breweries, golf, and more.
**Contact:**
+ Erin Hill, ***************************
**Job Details**
Legal Employer: NCHEALTH
Entity: UNC Health Medical Group
Organization Unit: UNC Health Nash Imaging
Work Type: Per Diem
Standard Hours Per Week: 4.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Rocky Mount
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Easy ApplyAmbulatory Coder Professional Billing, FT, Days, - Remote
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
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/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
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.
Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
Responsible for resolving all assigned pre-billing edits
Communicates billing related issues and participates in meetings to improve overall billing process
Provides feedback to providers in order to clarify and resolve coding concerns.
Assists in identifying areas that need additional training.
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 - Two (2) years professional coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder-CPC
Knowledge, Skills and Abilities
Maintains knowledge of governmental and commercial payer guidelines.
Participates in coding educational opportunities (webinars, in house training, etc.).
Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Auto-ApplyHealth Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC jobs
Inspire health. Serve with compassion. Be the difference. Codes 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. Performs 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. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines.
* Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding.
* Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding.
* Adheres to department standards for productivity and accuracy.
* Identifies and trends coding issues escalating identified concerns
* Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.
* 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 - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.
* Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
* In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
* Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills and Abilities
* Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality.
* Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
* Knowledge of electronic medical records and 3M or Encoder System.
* Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
* Knowledge of MS DRG prospective payment system and severity systems.
* Ability to concentrate for extended periods of time.
* Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70017512 HIM Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Ambulatory Coder Professional Billing, FT, Days, - Remote
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
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/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
Responsible for resolving all assigned pre-billing edits
Communicates billing related issues and participates in meetings to improve overall billing process
Provides feedback to providers in order to clarify and resolve coding concerns.
Assists in identifying areas that need additional training.
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 - Two (2) years professional coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder-CPC
Knowledge, Skills and Abilities
Maintains knowledge of governmental and commercial payer guidelines.
Participates in coding educational opportunities (webinars, in house training, etc.).
Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Greenville Memorial Med Campus
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Auto-Apply