Coder Outpatient

Omega • Boca Raton, FL

19h • $27 • Remote

About The Position

Omega Healthcare is seeking an experienced Facility Outpatient Coding Specialist to support a large academic university health system and Level I Trauma Center. The role focuses exclusively on outpatient coding edits and claim review, including accurate code assignment, modifier usage, NCCI/CCI compliance, and medical necessity validation across multiple outpatient specialties. The specialist collaborates with coding, compliance, revenue cycle, and clinical teams to resolve discrepancies and supports accurate reimbursement through compliant edit resolution. The role is remote and requires strong coding knowledge, attention to detail, and the ability to manage outpatient coding edit workflows in a fast-paced healthcare environment.

The first week of training requires availability Monday through Friday, 8:00 AM to 4:00 PM MST. After training, flexible scheduling may be available depending on business needs, performance, and management approval.

Requirements

• Minimum 2 years of facility outpatient coding experience.
• Demonstrated experience working outpatient coding edits, including NCCI/CCI edits, modifier review and application, and medical necessity review.
• Experience supporting multiple outpatient specialties.
• Strong understanding of CMS regulations, payer policies, and outpatient reimbursement methodologies.
• Experience using Cerner and 3M coding systems.
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently in a remote environment while maintaining quality and productivity standards.

Nice To Haves

• Certified coding credential such as CPC, CCS, CCS-P, RHIT, or RHIA.
• Experience supporting academic medical centers or Level I Trauma Centers.
• Prior experience with outpatient facility claim editing and revenue integrity workflows.

Responsibilities

• Review and resolve outpatient coding edits for facility-based services.
• Analyze and correct NCCI/CCI edits to ensure coding compliance and claim accuracy.
• Review and apply appropriate modifiers based on documentation and payer requirements.
• Validate and address medical necessity edits in accordance with CMS and payer guidelines.
• Collaborate with coding, compliance, revenue cycle, and clinical teams to resolve coding discrepancies.
• Maintain coding quality standards while meeting productivity and turnaround time expectations.
• Stay current with coding regulations, payer policies, and industry best practices.
• Support accurate reimbursement through compliant coding and edit resolution processes.

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 bonus programs, commissions, or other variable incentive plans for eligible employees

What This Job Offers

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