What are the responsibilities and job description for the Professional Fee Coder (F/T) - Remote position at Optim?
Optim Health System is seeking a full time Professional Fee Coder. This is a remote position.
Primary Duties:
Ø Review order to ensure the correct CPT/ICD -10 codes are utilized for pre cert by reviewing all provider documentation
Ø Responsible for reviewing and updating unbilled hospital charges and clinic coding issues prior to billing the payer
Ø Work with the pre cert team on codes that need to be updated post-surgery, prior to billing
Ø Audit E/M documentation for all physicians quarterly and provide feedback and training
Ø Support RCM Team with appeals and denials related to documentation, coding, authorizations.
Ø Review Payer guidelines for changes in authorization, codes, LCD guidelines, changes in NCCI edits
Ø Provide cheat sheets and documentation training for providers and staff for compliance and maximum reimbursement
Ø Collaborate with Director and the EMR administrator on best practice set up for EHR to simplify orders, documentation and diagnosis selection
Optim Offers:
- Competitive Pay
- Company Benefits
- Vacation, Personal Time Off, and Sick Leave
- Holiday Pay
- 401K Plan
