Professional Fee Coder (F / T) - Remote

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