Coder Outpatient

Omega HMS•Boca Raton, FL

50d

About The Position

Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure code with attention to accurate sequencing. Utilizes technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records. Maintans compliance with both external regulatory and accreditation requirements, as well as state and federal regulations. Extract pertinent data from the patient's health record and determine appropriate coding for reports and billing documents. Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. Track and document productivity in specified systems and maintain productivity levels as defined by the client. Maintain a 95% quality rating Perform duties in compliance with the Company's policies and procedures, including but not limited to those related to HIPAA and compliance.

Requirements

Ability to prioritize and multi-task in a fast-paced, changing environment.
Demonstrate ability to work in all work types and specialties.
Demonstrate ability to self-motivate, set goals, and meet deadlines.
Demonstrate leadership, mentoring, and interpersonal skills.
Demonstrate excellent presentation, verbal and written communication skills.
Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
Maintain courteous and professional working relationships with employees at all levels of the organization.
Demonstrate excellent analytical, critical thinking and problem solving skills.
Skill in operating a personal computer and utilizing a variety of software applications.
Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.
Successful completion of an AAPC or AHIMA-approved Coding Certificate Program
EPIC and CAC required unless for Optum Excela client, then CAC and Power chart
Optum waived post certification for holiday coverage coders

Responsibilities

Abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
Assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure code with attention to accurate sequencing.
Utilizing technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
Abstracting and coding pertinent medical data into multiple software programs and/or encoders.
Following official coding guidelines to review and analyze health records.
Maintaining compliance with both external regulatory and accreditation requirements, as well as state and federal regulations.
Extracting pertinent data from the patient's health record and determine appropriate coding for reports and billing documents.
Identifying codes for reporting medical services and procedures performed by physicians.
Entering codes into various computer systems dependent upon the various clients.
Tracking and documenting productivity in specified systems and maintain productivity levels as defined by the client.
Maintaining a 95% quality rating
Performing duties in compliance with the Company's policies and procedures, including but not limited to those related to HIPAA and compliance.