Ambulatory Coder III

Prisma Health

. Abstract and validate CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings .

Posted 9/29/2026full-timeRemote • South Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT, ICD-10, and HCPCS coding for various healthcare settings, ensuring compliance with coding guidelines and payer-specific requirements. Proficient in mentoring and training team members while effectively communicating billing-related issues.

Highest-signal resume keywords

CPT CodingICD-10 CodingHCPCS CodingCertified Professional Coder (CPC)Five Years Professional Fee Coding Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding ComplianceMedical Record DocumentationCharge CorrectionsData EntryMathematical Skills

Soft Skills

CommunicationMentoringProblem Solving

Tools & Technologies

Coding SoftwareWord ProcessingSpreadsheetsDatabase Management

Certifications & Qualifications

Certified Professional Coder (CPC)Specialty Certification from AAPC

Industry Keywords

Payer GuidelinesBilling IssuesInpatient CodingOutpatient CodingPhysician's Office Coding

About the role

Key responsibilities & impact

Abstract and validate CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings
Abstract and code for assigned providers/divisions based on medical record documentation
Adhere to coding and compliance guidelines
Maintain knowledge of coding/billing updates and payer-specific coding guidelines
Serve as a subject matter expert for the assigned specialty
Utilize coding software and coding resources to determine correct codes
Communicate billing-related issues to the assigned supervisor/manager
Participate in meetings to improve overall billing
Follow departmental policies for charge corrections
Provide feedback to providers to clarify and resolve coding concerns
Resolve assigned pre-billing edits
Identify areas requiring additional training
Mentor and assist in training other coders and new team members
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
Five (5) years professional fee coding experience
Certified Professional Coder (CPC)
Specialty Certification from AAPC that correlates with assigned specialty
Knowledge of governmental and commercial payer guidelines
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills

Benefits

Comp & perks

Participation in coding educational opportunities, including webinars and in-house training
Mentoring and training opportunities for other coders and new team members