Coder Outpatient

Omega Healthcare Solutions • Boca Raton, FL

2d • $27 - $33 • Remote

About The Position

The Coder Outpatient abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records. The role assigns accurate principal and secondary diagnoses and procedure codes, applies coding principles and DRG/APC reimbursement expertise, and follows official coding guidelines. The coder extracts pertinent information from health records, determines coding for reports and billing documents, and enters codes into multiple software programs, encoders, and client systems.

The position tracks and documents productivity, meets client-defined productivity levels, and maintains a 95% quality rating. It also requires compliance with company policies, HIPAA, external regulatory and accreditation requirements, and applicable state and federal regulations. This is a full-time remote home-office position, generally working Monday through Friday, 8:00 a.m. to 5:00 p.m., with occasional long hours and weekend work. 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.
• A current coding credential: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P; CPC or an equivalent coding credential is required.
• At least two years of recent, credentialed facility coding experience.
• At least two years of experience with OP Observation, Surgeries, and Infusion & Injections across all specialties.
• At least two years of Epic experience.
• 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 their impact on reimbursement and accreditation.
• Ability to operate a personal computer and use a variety of software applications.
• Ability to prioritize and multitask, work across work types and specialties, self-motivate, set goals, and meet deadlines.
• Excellent analytical, critical-thinking, problem-solving, presentation, verbal and written communication, interpersonal, leadership, and mentoring skills.
• Ability to build credibility and trust with key business partners and maintain professional relationships with employees at all levels.
• Ability to work occasional long hours and weekends.

Nice To Haves

• At least two years of 3M experience.
• Leadership, mentoring, and interpersonal skills.
• Preferred education and experience: N/A.

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, ensuring accurate sequencing.
• Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
• Abstract and code pertinent medical data in multiple software programs and 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 computer systems used by various clients.
• Track and document productivity in specified systems and maintain productivity levels defined by the client.
• 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 self-motivate, set goals, and meet deadlines.
• Build and maintain relationships with business partners and courteous, professional working relationships with employees at all organizational levels.
• Use analytical, critical-thinking, problem-solving, communication, presentation, interpersonal, leadership, and mentoring skills as appropriate to the role.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Eligible employees may have access to bonus programs, commissions, or other variable incentive plans

What This Job Offers

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