Coder Inpatient

Omega Healthcare Management Services•Boca Raton, FL

1d•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, using coding principles and DRG/APC reimbursement expertise to ensure accurate coding and sequencing. It abstracts pertinent medical data into software programs and encoders, reviews health records under official coding guidelines, and supports compliance with regulatory, accreditation, state, and federal requirements. The position also identifies codes for medical services and physician procedures, enters codes into client-dependent systems, tracks productivity, and is expected to maintain a 95% quality rating. The position is full-time and operates remotely from a home office. Work is 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.
Two to four years of current production coding experience in both acute care and professional-fee coding.
Must hold one or more of the following certificates or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
Knowledge of coding conventions and rules established by AHIMA, the American Medical Association (AMA), the American Hospital Association (AHA), and the Centers for Medicare and Medicaid Services (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.
Skill in operating a personal computer and using a variety of software applications.
Ability to prioritize and multitask, work across work types and specialties, self-motivate, set goals, and meet deadlines.
Strong leadership, mentoring, interpersonal, presentation, verbal and written communication, analytical, critical-thinking, and problem-solving skills.
Ability to develop and maintain relationships with business partners and maintain courteous, professional working relationships with employees at all organizational levels.

Nice To Haves

Experience with 3M, Meditech, One Content, Paragon, Cerner, Affinity, and MedHost systems.
Willingness to learn additional systems if needed for Lifepoint logins.

Responsibilities

Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records.
Assign correct principal and secondary diagnoses and principal and secondary procedure codes, with accurate sequencing.
Use technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
Abstract and code pertinent medical data into multiple software programs and/or encoders.
Review and analyze health records in accordance with official coding guidelines.
Maintain compliance with external regulatory and accreditation requirements and state and federal regulations.
Extract pertinent data from patient health records and determine appropriate coding for reports and billing documents.
Identify codes for reporting medical services and procedures performed by physicians.
Enter codes into computer systems used by various clients.
Track and document productivity in specified systems and maintain client-defined productivity levels.
Maintain a 95% quality rating.
Perform duties in compliance with company policies and procedures, including HIPAA and compliance requirements.
Prioritize and manage multiple tasks in a fast-paced, changing environment; work across work types and specialties; and meet goals and deadlines.
Build and maintain professional relationships with business partners and employees at all levels.
Use analytical, critical-thinking, problem-solving, communication, interpersonal, and computer skills in performing the role.