Coder ER

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); Remote; USD 65,000 - 90,000; Full time

Job summary

Omega Healthcare Management Services is seeking a single Path ED Coder with 2+ years of Trauma 1/Teaching Hospital experience. The role emphasizes ED coding, CPT/HCPCS, and ICD-10-CM, using Epic and 3M 360 CAC in a remote home-office setting.

Monday–Friday, 8a–5p ET, with training in the initial weeks. The candidate will review records, assign accurate diagnoses and procedures, ensure proper sequencing, and support billing and research goals.

Qualifications

• Successful completion of an AAPC or AHIMA-approved Coding Certificate Program.
• Minimum two to four years of current production coding experience in acute care and professional coding.
• Experience with ED coding for Trauma Level 1 and Teaching facilities.
• Proficiency with ICD-10-CM Diagnosis and CPT/HCPCS procedures.
• Ability to meet productivity targets and maintain 95% coding accuracy.
• Experience using Epic and 3M 360 CAC for coding and audits.
• Knowledge of AHIMA/AMA/CMS coding guidelines and HIPAA compliance.

Responsibilities

• Abstract, code, and sequence diagnoses and procedures for ED encounters.
• Assign principal and secondary codes with correct sequencing for reimbursement.
• Apply DRG/APC considerations and appropriate charge codes.
• Enter codes into client systems and maintain productivity and quality targets.
• Adhere to official coding guidelines and regulatory requirements.
• Maintain confidentiality of patient records and HIPAA compliance.
• Collaborate with providers and HIM staff to ensure accurate coding.

Skills

ED coding

Trauma Level 1

ICD-10-CM coding

CPT/HCPCS coding

Epic

3M 360 CAC

HIPAA compliance

Education

AAPC/AHIMA Coding Certificate

Tools

Epic

3M 360 CAC

Job description

Single Path ED Coder with 2 + years of recent experience in a Trauma 1 and Teaching University Health System. Experience requirements include but are not limited to: Facility ED coding for Trauma 1 and Teaching (residents) hospital, ICD-10-CM Diagnosis assignment, Facility ED level assignment, Facility ED CPT procedures, Injection and Infusion charges, CPT/HCPCS Modifier assignment, other facility charges (i.e. radiology, biopsy, etc.) and professional EM level assignment for provider billing. Must be experienced using Epic and 3M 360 CAC. FULLTIME CANDIDATES ONLY! Monday - Friday schedule required and the majority of the shift must be during client's normal business hours (8a-5p Eastern Time). IMPORTANT NOTE: Must be available to train the first 2 weeks between 8a-5p Eastern Time Candidates are expected to have the necessary experience recently used in a similar setting. A professional resume reflecting relative experience above required. NOTE: An assessment must be completed prior to an interview being scheduled

Summary/Objective
Under limited supervision the Coder ER reviews medical records and performs coding on all diagnoses, procedures, DRG/APC and charge codes. The Coder ER 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 ER 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 equipmentsuchas 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.

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.

AAP/EEO Statement

Omega is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

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

Facility ED Coding Experience

Professional ED Leveling Experience

Experience at a Trauma Level 1 Facility

Experience at a Teaching Facility

Well versed in Injection and Infusion Coding

Familiar and up to date on ICD-10-CM and CPT coding guidelines

Able to maintain a minimum of 95% coding accuracy

Experience with Epic and 3M 360 CAC

Able to meet productivity expectations

Self-motivated and disciplined to be successful in a remote environment

Team player

Able to pick up new technical and workflows quickly

Successful completion of the written assessment

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] .