Coder 2 Inpatient

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k) plan with employer match

Paid time off

Holiday pay

Professional development opportunities

Job summary

Omega Healthcare Management Services seeks an experienced Coder Inpatient to review medical records and assign accurate inpatient, outpatient, and pro fee codes. You will work remotely, ensuring compliance with AHIMA/AMA/AHA and CMS rules while maintaining high-quality, confidential coding practices.

You will abstract data, sequence diagnoses/procedures, and support reimbursement and quality initiatives, all within client guidelines and a fast-paced environment.

Qualifications

• Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee.
• Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
• Experience abstracting, coding, sequencing and interpreting clinical information from inpatient, outpatient, emergency department, pro fee and clinical records.
• Knowledge of coding conventions and rules established by AHIMA/AMA/AHA and CMS.

Responsibilities

• Abstracting, coding, sequencing and interpreting clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
• Assigning correct principal and secondary diagnoses and principal/secondary procedures with accurate sequencing.
• Utilizing DRG/APC reimbursement knowledge to assign appropriate codes.
• Extracting data for reports and billing documents; maintaining compliance with HIPAA and regulatory requirements.
• Track productivity and maintain quality standards (e.g., 95% quality rating).
• Maintain confidentiality of patient records and procedures; follow client-specific guidelines.

Skills

Inpatient coding

DRG/APC knowledge

HIPAA compliance

Multi-tasking

Detail oriented

Education

CPC

COC

CIC

RHIA

RHIT

CCS

CCS-P

Tools

EPIC

Solventum

Job description

Summary/Objective
Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG.The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures.

Essential Job Functions

• Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
• Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.
• Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
• Abstracts and codes pertinent medical data into multiple software programs and/or encoders.Follows official coding guidelines to review and analyze health records.
• Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.
• Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents.
• Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
• Track and document productivity in specified systems, maintain productivity levels as defined by the client.
• Maintain 95% quality rating
• Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Key Success Indicators/Attributes

• Ability to prioritize and multi-task in a fast-paced, changing environment.
• Demonstrate ability to work in all work types and specialties.
• Demonstrate ability to self-motivate, set goals, and meet deadlines.
• Demonstrate leadership, mentoring, and interpersonal skills.
• Demonstrate excellent presentation, verbal and written communication skills.
• Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
• Maintain courteous and professional working relationships with employees at all levels of the organization.
• Demonstrate excellent analytical, critical thinking and problem solving skills.
• Skill in operating a personal computer and utilizing a variety of software applications.
• Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
• Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.

Supervisory Responsibility

No

This job operates in a remote home office environment. This role routinely uses standard office equipment suchas computers and phones.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.

Travel

Minimal travel required; up to 5%

Required Education and Experience

Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee.

Preferred Education and Experience

N/A

Additional Eligibility Qualifications

Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.

Security Access Requirements

In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in the “Standard Field Employee” profile.

Microsoft Office ADP Oracle Reviewmate

E1- All Field Employees Standard Employee Standard Coder and Client Access based on client needs. Determined by manager and granted by Audit Implementation Manager

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcarealso prohibits harassment of applicants or employees based on any of these protected categories.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.Duties, responsibilities and activities may change at any time with or without notice. Employee may perform other duties as assigned.

Qualifications

Must have one of the following credentials: RHIA, RHIT or CCS (client requirement)

Required Skills

• Facility Inpatient - General Med/Surg
• Facility Inpatient - Neurology
• Facility Inpatient - Orthopedics
• Facility Inpatient - Pulmonology
• Facility Inpatient - Vascular
• System - EPIC
• System - Solventum
• Teaching Hospital

About Us

Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcarealso prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [e-mail] .