Certified Coder
Posted 13hrs ago
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Job Description
Remote Certified Coder processing surgical charges, claims, and insurance authorizations for a Savannah healthcare organization. Maintaining accurate ICD-10/CPT coding, audits, reports, and compliance.
Responsibilities:
- Obtain hospital dictation and charge slips and code them according to payor guidelines
- Update physician coding as appropriate
- Verify and update patient demographic information; 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, pricing, and reporting fields
- Complete missing slips daily and verify surgical appointment posting
- Print daily schedules and periodically run Missing Slip Reports
- Compare pre-certified codes with documentation and notify providers and precertification staff of approved code changes
- Ensure precertification/authorization documentation is attached to claims
- Record and balance posted charges daily
- Assist departments, offices, and patients with coding and payment questions
- Post prepayments to surgery charges
- Handle Athena worklists and coding scrubs, including 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 physicians
- Prepare various reports
- Maintain coding accreditation and/or licensing and complete required annual training
- Maintain strict confidentiality and perform related duties as required
Requirements:
- Certification/licensing in the chosen coding field must be maintained
- Maintain yearly Healthstream courses
- Current knowledge of ICD-10 and CPT coding
- Familiarity with payor guidelines, coding rules, modifiers, pricing, medical necessity, appeals, and insurance authorization/precertification processes
- Ability to use multiple software programs, including Athena
- Ability to verify patient demographics and authorization information
- Ability to audit E/M documentation
- Ability to maintain strict confidentiality
- Must remain current with state and federal legislative changes affecting outcomes
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