[Hiring] Certified Coder @Optim

Role Description

• Obtains hospital dictation and charge slips from physicians/hospital/transcription/Athena to code. Updates 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. Creates new patient accounts when required. Obtains 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. Ensures correct coding in all procedure entry fields to ensure accurate tracking for reporting purposes. Accesses multiple software programs for processing accurate coding.
• Completes missing slips daily, verifying posting of all surgical appointments.
• Responsible for printing a daily schedule to ensure all cases are posted.
• Runs Missing Slip Report periodically to verify all scheduled surgeries posted for the month.
• Compares pre-certed codes to documentation and notifies providers to authorize code changes. Upon physician approval, notifies precert staff to change codes accordingly with various insurance carriers. Ensures 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, and Medicare rates.
• Posts prepays to surgery charges.
• Handles Athena worklist/scrubs on various coding issues such as improper diagnosis, medical necessity, missing or incorrect modifiers, assistant surgeons, appeals, etc. Reviews documentation to update coding as documented.
• Corrects charges to other insurance carriers as requested and verified, including moving charges, payments, and adjustments.
• Audits E/M documentation for all physicians.
• Generates various reports.
• 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.
• Maintains yearly courses for Healthstream.
• Maintains strictest confidentiality.
• Performs related work as required.

Company Description