Certified Coder

Job not on LinkedIn

🔥 0 minutes 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 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