Certified Coder

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

📋 Description

• Acquire hospital dictation and charge slips, coding them according to payer guidelines.

• Update physician coding as necessary.

• Verify and update patient demographic details; create new patient accounts when needed.

• Gather demographic and authorization information from facilities.

• Accurately and promptly code and post charges, including comments for global periods, modifiers, pricing, and reporting fields.

• Complete daily missing slips and verify surgical appointment postings.

• Print daily schedules and periodically generate Missing Slip Reports.

• Compare pre-certified codes with documentation, notifying providers and precertification staff of any approved code adjustments.

• Ensure that precertification/authorization documentation is included with claims.

• Record and balance posted charges on a daily basis.

• Assist departments, offices, and patients with inquiries related to coding and payments.

• Post prepayments to surgery charges.

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

• Adjust 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 the required annual training.

• Uphold strict confidentiality and perform related duties as necessary.

⛳️ Requirements

• Certification/licensing in the selected coding field must be upheld.

• Complete yearly Healthstream courses.

• Up-to-date knowledge of ICD-10 and CPT coding.

• Familiarity with payer guidelines, coding regulations, modifiers, pricing, medical necessity, appeals, and insurance authorization/precertification processes.

• Proficiency in using multiple software programs, including Athena.

• Ability to verify patient demographics and authorization details.

• Capability to audit E/M documentation.

• Commitment to maintaining strict confidentiality.

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

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company match.

• Opportunities for professional development and training.

• Flexible work schedule and remote work options.