Certified Coder

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Optim Health System

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1976

🏥 Healthcare

🧘 Wellness

👥 B2C

Healthcare • Wellness • B2C

Optim Health System is a regional health system operating hospitals, ambulatory surgery centers, and clinics that specialize in orthopedic care, interventional pain management, neurosurgery, and primary care. The system emphasizes patient-focused, high-quality, and compassionate care, offering Centers of Excellence for joints, spine, and other musculoskeletal services, as well as imaging, rehabilitation, and surgical services across community hospitals and outpatient facilities.

📋 Description

• Obtain hospital dictation and charge slips and code them according to payor guidelines • Update physician coding as appropriate • Verify and update patient demographic information; create new patient accounts when required • Obtain demographic and authorization information from facilities • Code and post charges accurately and timely, including comments for global periods, modifiers, pricing, and reporting fields • Complete missing slips daily and verify surgical appointment posting • Print daily schedules and periodically run Missing Slip Reports • Compare pre-certified codes with documentation and notify providers and precertification staff of approved code changes • Ensure precertification/authorization documentation is attached to claims • Record and balance posted charges daily • Assist departments, offices, and patients with coding and payment questions • Post prepayments to surgery charges • Handle Athena worklists and coding scrubs, including diagnosis, medical necessity, modifiers, assistant surgeons, and appeals • Correct charges for other insurance carriers, including moving charges, payments, and adjustments • Audit E/M documentation for physicians • Prepare various reports • Maintain coding accreditation and/or licensing and complete required annual training • Maintain strict confidentiality and perform related duties as required

🎯 Requirements

• Certification/licensing in the chosen coding field must be maintained • Maintain yearly Healthstream courses • Current knowledge of ICD-10 and CPT coding • Familiarity with payor guidelines, coding rules, modifiers, pricing, medical necessity, appeals, and insurance authorization/precertification processes • Ability to use multiple software programs, including Athena • Ability to verify patient demographics and authorization information • Ability to audit E/M documentation • Ability to maintain strict confidentiality • Must remain current with state and federal legislative changes affecting outcomes