Coder Inpatient

Omega Healthcare; United States; Remote; USD 55,000 - 85,000; Full time

Job summary

Omega Healthcare is seeking a remote Medical Coder to abstract, code, and sequence clinical information across inpatient, outpatient, ED and pro-fee records. You will assign diagnoses and procedures with correct sequencing, applying DRG/APC knowledge and coding standards to ensure accurate billing.

You will input codes into multiple systems, maintain productivity, and sustain a 95% quality rating while complying with HIPAA and regulatory requirements.

Qualifications

• Proficient in abstracting, coding and sequencing clinical data.
• Follows coding guidelines to review health records.
• Knowledge of AHIMA/AMA/AHA/CMS coding standards.

Responsibilities

• Abstract, code, sequence and interpret clinical information from inpatient, outpatient, ED, pro-fee and clinical records.
• Assign principal/secondary diagnoses and principal/secondary procedures with correct sequencing.
• Utilize DRG/APC knowledge to assign appropriate codes.
• Enter codes into client systems and encoders; adhere to HIPAA and compliance rules.
• Track productivity in specified systems and maintain client-defined productivity levels.
• Maintain a 95% quality rating across coding assignments.
• Ensure compliance with external regulatory and accreditation requirements.

Skills

Coding conventions (AHIMA/AMA/AHA/CMS)

HIPAA compliance

Job description

Remote

Job Description

Essential Job Functions

• Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
• Responsible for assigning 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 external regulatory and accreditation requirements as well as state and federal regulations.
• Extract pertinent data from the patient’s health record and determine appropriate coding for reports and billing documents.
• Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
• Track and document productivity in specified systems and maintain productivity levels as defined by the client.
• Maintain a 95% quality rating.
• Perform duties in compliance with the 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

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment such as 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.