Certified Coder - Remote

Optim; Savannah (GA); Hybride; USD 55 000 - 75 000; Plein temps

Résumé du poste

Optim is seeking a Certified Coder for remote work in the United States. You will obtain hospital dictation and charge slips, apply ICD-10 and CPT coding per payor guidelines, and update physician coding as required.

The role includes posting charges, verifying demographics, and balancing daily postings using Athena and related systems. Responsibilities span auditing documentation, handling precertifications, and maintaining compliance with evolving state and federal rules.

Responsabilités

• Obtains hospital dictation and charge slips; codes with ICD-10 and CPT per payor guidelines.
• Verifies and updates patient demographics before posting charges; creates new accounts as needed.
• Codes and posts charges accurately with modifiers; uses multiple software programs for processing.
• Completes missing slips daily and verifies posting of surgical appointments.
• Prints daily schedule to ensure all cases are posted.
• Runs Missing Slip Report to verify monthly postings.
• Compares pre-cert codes to documentation and notifies providers to authorize changes.
• Records and balances all posted charges daily.
• Assists with coding questions from departments, offices, and patients.
• Posts prepays to surgery charges.
• Handles Athena worklist issues and review of documentation for updates.
• Corrects charges to other carriers as requested; moves charges, payments, and adjustments.
• Audits E/M documentation for all physicians.
• Keeps up to date with state and federal coding changes affecting outcomes.
• Maintains accreditation and licensing in the field.
• Maintains Healthstream yearly courses.

Description du poste

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Certified Coder - Remote

Full-time Regular Remote, Savannah, GA, US

3 days ago Requisition ID: 2706

Primary Duties: Primary job duties include, but not limited to;

• Obtains hospital dictation and charge slips from physicians/hospital/transcription/Athena to code. Update physician coding as appropriate to payor guidelines. Utilization of proper ICD-10 and CPT codes.
• Responsible for verifying and updating all patient demographic information before posting charges on patient accounts. Creating new patient accounts when required. Obtaining demographic and authorization information from facilities.
• Responsible for coding and posting charges accurately and timely, including comment entries for global period, correct codes with proper modifiers and pricing. Correct coding in all procedure entry fields to ensure accurate tracking for reporting purposes. Accessing multiple software programs for processing accurate coding.
• Completing missing slips daily, verifying posting of all surgical appointments.
• Responsible for printing a daily schedule to ensure all cases are posted.
• Missing Slip Report run periodically to verify all scheduled surgeries posted for the month.
• Comparing pre-certed codes to documentation and notifying providers to authorize code changes. Upon physician approval, notify precert staff to change codes accordingly with various insurance carriers. Be sure all have precert/authorization attached to claims.
• Responsible for recording and balancing all posted charges, daily.
• Assists with coding questions from other departments, offices, and patients. Including fees for self-pay patients/down payments/Medicare rates.
• Posting prepays to surgery charges.
• Handling Athena worklist/scrubs on various coding issues such as improper diagnosis, medical necessity, missing or incorrect modifiers, assistant surgeons, appeals, etc. Must review documentation to update coding as documented.
• Correction of charges to other insurance carriers as requested and verified, including moving charges, payments, and adjustments.
• Auditing E/M documentation for all physicians.
• Responsible for remaining current with state and federal legislative changes that affect outcomes. Posting staff should be familiar and up to date with all coding rules.
• Responsible for maintaining accreditation and or licensing in chosen field.
• Maintaining yearly courses for Healthstream.