Coder Outpatient

Omega Healthcare Management Services•Boca Raton, FL

About The Position

The Coder Outpatient abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. The role assigns accurate principal and secondary diagnoses and procedures, including correct sequencing, and applies technical coding principles and DRG/APC reimbursement expertise. The coder abstracts pertinent medical data into software programs and encoders, extracts information from patient health records, determines appropriate codes for reports and billing documents, identifies codes for physician services and procedures, and enters codes into client-specific computer systems. The position follows official coding guidelines and maintains compliance with external regulatory and accreditation requirements, state and federal regulations, and company policies, including HIPAA and compliance policies. The coder tracks and documents productivity in specified systems, meets client-defined productivity levels, and maintains a 95% quality rating. Success in the role requires prioritization and multitasking in a fast-paced, changing environment; the ability to work across work types and specialties; self-motivation and deadline management; leadership, mentoring, interpersonal, presentation, and communication skills; relationship-building with business partners; professionalism; analytical and problem-solving abilities; and proficiency with computers and software applications.

Requirements

Two years of post-certification experience.
EPIC experience.
Solventum experience.
One of the following credentials: CCS, CPC, RHIA, RHIT, or COC.
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 reimbursement and accreditation.
Ability to prioritize and multitask in a fast-paced, changing environment.
Ability to work in all 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.
Ability to build credibility and trust and maintain relationships with key business partners.
Ability to maintain courteous and professional working relationships with employees at all organizational levels.
Excellent analytical, critical-thinking, and problem-solving skills.
Skill in operating a personal computer and using a variety of software applications.

Responsibilities

Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
Assign accurate principal and secondary diagnoses and principal and secondary procedure codes, with attention to sequencing.
Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
Abstract pertinent medical data into software programs and encoders.
Follow official coding guidelines to review and analyze health records.
Maintain compliance with regulatory and accreditation requirements, state and federal regulations, and company policies, including HIPAA and compliance policies.
Extract pertinent data from patient health records and determine appropriate coding for reports and billing documents.
Identify codes for medical services and procedures performed by physicians.
Enter codes into computer systems used by various clients.
Track and document productivity in specified systems and meet client-defined productivity levels.
Maintain a 95% quality rating.