Posted: Feb 22, 2026
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 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. Apply tot his job
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