![Prisma Health](https://media.trabajo.org/img/noimg.jpg)
Ambulatory Coder Denials, FT, Days,
4 weeks ago
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. Communicates with providers regarding coding denial issues. Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc.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 governmentaland commercial payer guidelines. Assists with Compliance Team and Coding Educators to identify areas that need additional training, if applicable. Communicates billing related issues to assigned supervisor/manager. Participates in A/R Meetings in order to improve overall billing when applicable.Minimum Education
Associate’s degree in related field of study or equivalent training/certification required.
Minimum Experience
2 years of experience in Professional Billing Coding or Combined Coding/Billing
In Lieu of the Minimum Requirements
High School Diploma with 1 year coding or coding/billing experience in a professional billing setting.
Licensure, Registry or Certification Required
Certified Professional Coder for Professional Billing
Work Shift
Day (United States of America)Location
Independence PointeFacility
7001 CorporateDepartment
70019178 Medical Group Coding & Education ServicesShare 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,
2 weeks ago
Greenville, United States Prisma Health Full time**Inspire health. Serve with compassion. Be the difference.** **Job Summary** 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...
-
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a...
-
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a...
-
PB - Denials and Appeals Specialist, FT, Days
3 weeks ago
Greenville, United States Prisma Health Full timeACCOUNTABILITIES - Analyzes and articulates trends specific to denials, root cause, and A/ R impact 25%Completes and submits claims via electronic or paper claim submission according to governmental regulations, agency policies, Prisma Health guideli Appeals Specialist, Processing Specialist, Quality Assurance, Specialist, Appeals, Healthcare
-
Clinical Coordinator
9 hours ago
Greenville, United States Vidant Health Full timeJob Description ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers...
-
Licensed Practical Nurse
4 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Provides routine, standardized nursing care for patients under the supervision of the physician. This job requires regional travel across all Prisma Health sites. Accountabilities * Assists physicians with examinations, procedures and other activities related to direct patient...
-
Licensed Practical Nurse
2 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Provides routine, standardized nursing care for patients under the supervision of the physician. This job requires regional travel across all Prisma Health sites. Accountabilities * Assists physicians with examinations, procedures and other activities related to direct patient...
-
Licensed Practical Nurse
4 weeks ago
Greenville, SC, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Provides routine, standardized nursing care for patients under the supervision of the physician. This job requires regional travel across all Prisma Health sites. Accountabilities * Assists physicians with examinations, procedures and other activities related to direct patient...
-
Patient Service Representative, FT, Days
1 week ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all front office functions as detailed in the next section. Accountabilities Responsible for complete and accurate patient...
-
Clinical Athletic Trainer, FT, Days
3 hours ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference.Job SummaryAssists with the management of patient/athlete visits within the clinic performing a range of clinical responsibilities in support of the physicians. Participates in community outreach and conducts presentations on a variety of Athletic Training Topics. Supervises Student Athletic Trainers...
-
Clinical Athletic Trainer, FT, Days
7 days ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference.Job SummaryAssists with the management of patient/athlete visits within the clinic performing a range of clinical responsibilities in support of the physicians. Participates in community outreach and conducts presentations on a variety of Athletic Training Topics. Supervises Student Athletic Trainers...
-
Registered Nurse
3 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference.Job SummaryProvides routine, standardized nursing care for patients under the supervision of the physician. BonusThis position is bonus eligible, follow this link for details.Schedule: Monday-Friday, no weekends, holidays, or on-call 1) Assists physicians with examinations, procedures and other...
-
Registered Nurse
1 week ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference.Job SummaryProvides routine, standardized nursing care for patients under the supervision of the physician. BonusThis position is bonus eligible, follow this link for details.Schedule: Monday-Friday, no weekends, holidays, or on-call 1) Assists physicians with examinations, procedures and other...
-
Registered Nurse
4 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Provides clinical direction for all aspects of patient care in an ambulatory setting under the direction of the physician, Advanced practice provider, or physician resident. Demonstrates clinical competency utilizing evidence based practices/research in all areas of the nursing...
-
Licensed Practical Nurse
1 week ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Provides routine, standardized nursing care for patients under the supervision of the physician. Accountabilities Assists physicians with examinations, procedures and other activities related to direct patient care. Arranges for patient appointments for diagnostic testing,...
-
Managed Care Representative I
1 month ago
Greenville, United States Physicians East Full timeJob DescriptionJob Description Job Title: Managed Care Representative IFLSA Status: Non -Exempt About usPhysicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.Location & commitmentsFT/PT/Temp/PRN role based at our...
-
Licensed Practical Nurse
4 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Provides routine, standardized nursing care for patients under the supervision of the physician. Provides routine, standardized nursing care for patients under the supervision of the physician. Work Shift Day (United States of America) Location BEH Powdersville Fam/Int...
-
Licensed Practical Nurse
2 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Provides routine, standardized nursing care for patients under the supervision of the physician. Provides routine, standardized nursing care for patients under the supervision of the physician. Work Shift Day (United States of America) Location BEH Powdersville Fam/Int...
-
Support Specialist-HCM PRN, Day
4 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Support the Hospital Care Management Department by performing as a liaison for payer communication, assisting with patient's transitions of care, and delivery of required regulatory documents. Effective communication skills to engage collaboratively with case management staff,...
-
Support Specialist-HCM PRN, Day
2 weeks ago
Greenville, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Support the Hospital Care Management Department by performing as a liaison for payer communication, assisting with patient's transitions of care, and delivery of required regulatory documents. Effective communication skills to engage collaboratively with case management staff,...