Certified Coder

This is a fully remote position, open to applicants in United States.

📋 Description

• Acquire hospital dictation and charge slips from physicians, healthcare facilities, transcription services, and Athena for the purpose of coding.

• Revise physician coding in accordance with payer regulations.

• Utilize accurate ICD-10 and CPT codes.

• Confirm and update patient demographic details prior to posting charges.

• Establish new patient accounts as necessary.

• Collect demographic and authorization details from facilities.

• Accurately and promptly code and post charges, including notes for global periods, modifiers, and pricing.

• Navigate multiple software applications for precise coding and tracking.

• Complete daily missing slips and confirm the posting of surgical appointments.

• Print daily schedules to ensure all cases are documented.

• Periodically run Missing Slip Reports to ensure that scheduled surgeries are posted.

• Compare pre-certified codes with documentation and inform providers of any code modifications.

• Alert pre-certification staff of approved code changes and ensure that authorizations are included with claims.

• Record and balance all posted charges on a daily basis.

• Support other departments, offices, and patients with inquiries regarding coding, fees, down payments, and Medicare rates.

• Apply prepayments to surgical charges.

• Manage Athena worklists and coding scrubs related to diagnosis, medical necessity, modifiers, assistant surgeons, and appeals.

• Adjust charges for other insurance providers, including the relocation of charges, payments, and corrections.

• Conduct audits of E/M documentation for all physicians.

• Generate various reports.

• Uphold confidentiality and perform related tasks as required.

⛳️ Requirements

• Accountable for maintaining accreditation and/or licensing in the selected field.

• Completion of annual courses through HealthStream.

• Must stay informed on state and federal legislative changes that impact outcomes.

• Should be knowledgeable and up-to-date with all coding regulations.

• Must adhere to strict confidentiality standards.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• Opportunities for professional development and continuing education.

• Supportive work environment that values collaboration and teamwork.