Ambulatory Coder II – Professional Billing

Prisma Health

. Validate/review and assign applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings .

Posted 9/29/2026part-timeRemote • South Carolina • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coding and compliance by validating and assigning CPT, ICD-10, Modifiers, and HCPCS codes across various medical settings. Proficient in utilizing coding software and maintaining knowledge of payer-specific guidelines to enhance billing processes.

Highest-signal resume keywords

Certified Professional Coder-CPC CertificationTwo Years Professional Coding ExperienceKnowledge of CPT, ICD-10, Modifiers, and HCPCS CodesAbility to Utilize Coding SoftwareKnowledge of Payer Guidelines

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingModifiers CodingHCPCS CodingCoding ComplianceData Entry SkillsMathematical Skills

Soft Skills

Communication SkillsProblem-Solving Skills

Tools & Technologies

Coding SoftwareOffice Equipment

Certifications & Qualifications

Certified Professional Coder-CPC Certification

Industry Keywords

Payer-Specific GuidelinesMulti-Specialty Medical PracticesBilling Process Improvement

About the role

Key responsibilities & impact

Validate/review and assign applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings
Adhere to coding and compliance guidelines
Maintain knowledge of coding/billing updates and payer-specific coding guidelines for multi-specialty medical practices
Resolve assigned pre-billing edits
Communicate billing-related issues and participate in meetings to improve the overall billing process
Provide feedback to providers to clarify and resolve coding concerns
Assist in identifying areas needing additional training
Perform other duties as assigned

Requirements

What you’ll need

High School diploma or equivalent or post-high school diploma / highest degree earned
Associate degree preferred
Two (2) years professional coding experience
Certified Professional Coder-CPC certification
Knowledge of governmental and commercial payer guidelines
Ability to utilize appropriate coding software and coding resources to determine correct codes
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills

Benefits

Comp & perks

Part-time employment
Remote work arrangement