Coder Inpatient

Omega Healthcare Solutions • Boca Raton, FL

1d • $33 - $41 • Remote

About The Position

The Inpatient Coder 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 with accurate sequencing, applies coding principles and DRG/APC reimbursement expertise, and enters coded data into various software programs, encoders, and client systems. The coder follows official coding guidelines and applicable regulatory, accreditation, State, and Federal requirements, and maintains compliance with company policies, including HIPAA and compliance policies.

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., with occasional long hours and weekend work. Minimal travel may be required, up to 5%. The role requires tracking productivity and meeting client-defined productivity levels, as well as maintaining a 95% quality rating. The employee may perform other duties as assigned, and responsibilities may change with or without notice.

Requirements

• Successful completion of an AAPC- or AHIMA-approved Coding Certificate Program; the qualifications section additionally specifies an AHIMA-approved program.
• Two to four years of current production coding experience in both acute care and professional fee (profee); the qualifications section specifies at least three years of current production coding experience in acute care.
• One or more of the following certificates and/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, reimbursement, and accreditation.
• Ability to prioritize and multitask in a fast-paced, changing environment and work across work types and specialties.
• Ability to self-motivate, set goals, and meet deadlines.
• Leadership, mentoring, and interpersonal skills.
• Excellent presentation, verbal, and written communication skills.
• Excellent analytical, critical-thinking, and problem-solving skills.
• Ability to develop and maintain relationships with business partners by building credibility and trust.
• Skill operating a personal computer and using a variety of software applications.
• Ability to occasionally perform listed physical activities and lift or move up to 25 pounds.

Nice To Haves

• Experience with 3M, Meditech, One Content, Paragon, Cerner, Affinity, and MedHost systems.
• Willingness to learn other 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 principal and secondary diagnoses and principal and secondary procedure codes, ensuring accurate sequencing.
• Apply 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, following official coding guidelines to review and analyze health records.
• 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 medical services and physician-performed procedures, and enter codes into client-dependent computer systems.
• Track and document productivity in specified systems and maintain productivity levels as defined by the client.
• Maintain a 95% quality rating.
• Perform duties in accordance with company policies and procedures, including those related to HIPAA and compliance.
• Build and maintain relationships with key business partners and courteous, professional relationships with employees at all levels.
• Perform other duties as assigned; duties and responsibilities may change with or without notice.

Benefits

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

What This Job Offers

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