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Certified Coder

Job not on LinkedIn

🕒 August 26

đŸ‡ș🇾 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

đŸ‘» Ghost score 18%

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Logo of Optim Health System

Optim Health System

1001 - 5000 employees

Founded 1976

đŸ„ Healthcare

🧘 Wellness

đŸ‘„ 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 from physicians, hospitals, transcription, and Athena for coding ‱ Update physician coding according to payer guidelines ‱ Use proper ICD-10 and CPT codes ‱ Verify and update patient demographic information before posting charges ‱ 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, and pricing ‱ Access multiple software programs for accurate coding and tracking ‱ Complete missing slips daily and verify posting of surgical appointments ‱ Print daily schedules to ensure all cases are posted ‱ Run Missing Slip Reports periodically to verify scheduled surgeries are posted ‱ Compare pre-certified codes with documentation and notify providers regarding code changes ‱ Notify pre-certification staff of approved code changes and ensure authorizations are attached to claims ‱ Record and balance all posted charges daily ‱ Assist other departments, offices, and patients with coding questions, fees, down payments, and Medicare rates ‱ Post prepayments to surgery charges ‱ Handle Athena worklists and coding scrubs involving 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 all physicians ‱ Prepare various reports ‱ Maintain confidentiality and perform related work as required

🎯 Requirements

‱ Responsible for maintaining accreditation and/or licensing in chosen field ‱ Maintaining yearly courses for HealthStream ‱ Must remain current with state and federal legislative changes affecting outcomes ‱ Must be familiar and up to date with all coding rules ‱ Must maintain strict confidentiality

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