Coder Outpatient

Omega Healthcare Management ServicesBoca Raton, FL

About The Position

Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cardiology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST. Required Experience: NCCI/CCI edits and modifier indicators Medically Unlikely Edits (MUEs) Medical necessity denials Modifiers 59, XE, XS, XP, and XU Looking up NCDs and LCDs Cardiac Caths Interventions (PCI, stents, atherectomy, thrombectomy) Electrophysiology studies and ablations Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes) Structural heart procedures (TAVR/TMVR, Watchman) Experience with modifiers 51, 76 and 77

Requirements

  • 2 + years' experience in cardiology surgery
  • 2+ years' experience with edit and denials
  • NCCI/CCI edits and modifier indicators
  • Medically Unlikely Edits (MUEs)
  • Medical necessity denials
  • Modifiers 59, XE, XS, XP, and XU
  • Looking up NCDs and LCDs
  • Cardiac Caths
  • Interventions (PCI, stents, atherectomy, thrombectomy)
  • Electrophysiology studies and ablations
  • Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes)
  • Structural heart procedures (TAVR/TMVR, Watchman)
  • Experience with modifiers 51, 76 and 77
  • Able to pick up new workflows and technology easily
  • Able to ramp up productivity in 4 weeks
  • Maintain 95% accuracy in all coding
  • Good written and verbal communication

Nice To Haves

  • Bariatric experience is a plus
  • Cerner experience preferred
  • Able to work hours M-F between 7a-5p CST preferred
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