Coder Outpatient
Omega Healthcare Solutions•Boca Raton, FL
•$27 - $40•Remote
About The Position
Experienced outpatient infusion and injection coder that understands the hierarchy of infusions/injections, start time and stop times and modifiers. Experience with Epic and 3M 360 required. Schedule can be flexible within reason but needs to be available for a few hours during client's normal business hours for training. This is a short-term project for a cleanup project, exact duration TBD but could be just a couple weeks maybe longer.
Requirements
- Experience with Epic and 3M 360 required
- Typically 2–4+ years of outpatient/facility coding experience
- At least 1–2 years of infusion/injection coding experience preferred
Nice To Haves
- Experience in oncology or specialty infusion centers is a plus
Responsibilities
- Strong knowledge of CPT, HCPCS Level II, and ICD-10-CM coding systems
- Advanced understanding of infusion, injection, hydration, and chemotherapy administration coding guidelines
- Proficiency in applying AMA CPT guidelines and hierarchy rules for: Initial, sequential, and concurrent infusions, Push vs. infusion distinctions, Hydration coding criteria
- Experience with drug administration coding including biologics, chemotherapy, and therapeutic/diagnostic injections
- Accurate assignment of modifiers (e.g., -25, -59, -76, -77) as appropriate
- Familiarity with National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUEs)
- Experience with hospital outpatient (OPPS) coding and reimbursement methodologies
- Understanding of revenue codes, charge capture, and UB-04 billing requirements
- Familiarity with CDM (Charge Description Master) structure and maintenance
- Ability to review and interpret nursing documentation, MAR (Medication Administration Record), and physician orders
- Strong working knowledge of: CMS outpatient coding guidelines, OIG compliance standards, Local and National Coverage Determinations (LCDs/NCDs)
- Ensures coding accuracy aligned with documentation and medical necessity requirements
- Identifies and escalates compliance risks, undercoding, and overcoding issues
- Ability to analyze complex infusion scenarios and determine correct coding hierarchy
- Strong attention to detail with focus on accuracy and audit readiness
- Capable of identifying documentation gaps and querying appropriately
- Skilled in performing coding edits resolution and denial analysis
Benefits
- health coverage
- dental coverage
- vision coverage
- voluntary insurance options
- 401(k) plan with employer match
- professional development opportunities
- paid time off
- holiday pay
- bonus programs
- commissions
- other variable incentive plans
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
