Coder Physician

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

Benefits offered by this job

Health, dental, and vision coverage

401(k) with employer match

Paid time off

Job summary

Omega Healthcare Management Services seeks a remote Medical Coder to abstract, code, sequence and interpret clinical information from inpatient, outpatient, pro fee records and ensure accurate principal and secondary codes. This role emphasizes DRG/APC reimbursement and compliance with AHIMA/AMA/CMS guidelines.

Successful completion of an AHIMA/APC coding certificate and 2–4 years of current production coding in acute care and pro fee is required; CPC/CCS-P or equivalent credentials are

Qualifications

• Successful completion of an AHIMA- or AAPC-approved Coding Certificate Program.
• Minimum of two to four years of current production coding experience in acute care and professional fee coding.
• Certified Professional Coder (CPC) or CCS-P, or equivalent credential required.

Responsibilities

• Abstract and code inpatient, outpatient, pro fee and other clinical records.
• Assign principal and secondary diagnoses and procedures with correct sequencing.
• Apply coding guidelines and DRG/APC rules for accurate reimbursement.
• Maintain compliance with HIPAA, CMS and accrediting bodies and monitor accuracy.
• Track productivity and sustain 95% quality rating.

Skills

Professional Fee coding

Epic experience

3M experience

MS Excel

Analytical thinking

Communication skills

Education

Coding certificate (AAPC/AHIMA)

Tools

Epic

3M

MS Excel

Job description

• Responsible for abstracting, coding,sequencingand interpretingthe clinicalinformation 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 systemsdependentupon 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 toHIPAAand 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 theAHIMA, 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 aregenerally Mondaythrough 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 anAAPCor 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

Certified Professional Coder (CPC), CCS-P, or equivalent coding credential required.

Qualifications

• Certified Professional Coder (CPC), CCS-P, or equivalent coding credential required.
• Minimum of2 years of recent, credentialed Professional Fee coding experience in Anesthesia/Pain.
• Minimum of2 years of Epic experience.
• Minimum of2 years of 3M experience.

Required Skills

• Pro-Fee - Pain
• Pro-Fee E/M - 2021 Guidelines
• Pro-Fee E/M - 2023 Guidelines
• Pro-Fee Surgical - Anesthesia
• System - Microsoft - Excel
• Systems - 3M
• Systems - Epic

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, 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] .