Coder Inpatient

Omega Healthcare Solutions • Boca Raton, FL

1d • $33 - $41 • Remote

About The Position

The Coder Inpatient abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records. The role assigns principal and secondary diagnoses and procedures, applies coding principles and DRG/APC reimbursement expertise, and follows official coding guidelines to analyze health records. It also extracts relevant information for reports and billing documents and enters medical service and procedure codes into client-specific computer systems and software.

The position tracks and documents productivity in specified systems, meets client-defined productivity levels, and maintains a 95% quality rating. The employee must comply with external regulatory and accreditation requirements, State and Federal regulations, and company policies, including HIPAA and compliance requirements. This is a full-time role in a remote home-office environment, generally Monday through Friday, 8:00 a.m. to 5:00 p.m.; occasional long hours and weekend work may be required. Travel is minimal, up to 5%.

Requirements

• Successful completion of an AAPC- or AHIMA-approved coding certificate program; the qualifications section also specifies an AHIMA-approved coding certificate program.
• Two to four years of current production coding experience in both acute care and professional-fee coding; the qualifications section specifies at least three years of current production coding experience in acute care.
• Must hold one or more of the following certificates or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P. The qualifications section lists RHIA, RHIT, and CCS.
• Knowledge of coding conventions and rules established by AHIMA, AMA, AHA, and CMS for diagnostic and surgical procedural code assignment.
• Knowledge of JCAHO, coding compliance, and HIPAA HITECH standards affecting medical records and their impact on reimbursement and accreditation.
• Ability to operate a personal computer and use a variety of software applications.
• Excellent analytical, critical-thinking, problem-solving, presentation, verbal, and written communication skills.
• Ability to prioritize and multitask, self-motivate, set goals, meet deadlines, and work across work types and specialties.
• Leadership, mentoring, interpersonal, and relationship-building skills; ability to build credibility and trust with business partners.
• Ability to maintain courteous and professional working relationships with employees at all levels.
• Familiarity with Meditech, Cerner, and Solventum systems.
• Ability to occasionally perform the described physical activities and lift or move up to 25 pounds.

Nice To Haves

• Willingness to learn additional systems if additional logins are needed for Lifepoint.

Responsibilities

• Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records.
• Assign accurate principal and secondary diagnoses and principal and secondary procedure codes, with appropriate sequencing.
• Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
• Abstract and code pertinent medical data in multiple software programs and encoders, following official coding guidelines to review and analyze health records.
• Maintain compliance with regulatory, accreditation, State, and Federal requirements, and company policies and procedures, including HIPAA and compliance requirements.
• Extract pertinent data from patient health records and determine appropriate coding for reports and billing documents.
• Identify and enter codes for medical services and physician-performed procedures into client-specific computer systems.
• Track and document productivity in specified systems and maintain client-defined productivity levels.
• Maintain a 95% quality rating.
• Prioritize and manage multiple tasks in a fast-paced, changing environment; work across work types and specialties; and self-motivate, set goals, and meet deadlines.
• Build and maintain relationships with business partners and professional working relationships with employees at all organizational levels.
• Perform other duties as assigned; duties and responsibilities may change.
• Occasionally work long hours or weekends and travel up to 5%.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Potential eligibility for bonus programs, commissions, or other variable incentive plans

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed