Coder Outpatient
Omega Healthcare Management Services•Boca Raton, FL
•Remote
About The Position
Under limited supervision, the Coder Outpatient reviews medical records and performs coding on all diagnoses, procedures, APC and charge codes. The Coder Outpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Outpatient will be charged with maintaining the confidentiality of patient records and procedures.
Requirements
- Must have at least 5 years of credentialed experience in outpatient coding facility and ProFee.
- Must have EPIC and 3M/Solventum experience.
- Must be certified - CPC, COC, CCS, RHIT or RHIA.
- 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.
- Skill in operating a personal computer and utilizing a variety of software applications.
Nice To Haves
- Past experience in (CAH) Critical Access Hospitals and/or (RHC's) Rural Health Clinics is a plus.
Responsibilities
- Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
- Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.
- Utilizes technical coding principals 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.
- Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.
- Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents.
- Identifies codes for reporting medical services, procedures performed by physicians.
- Enters codes into various computer systems dependent upon the various clients.
- Track and document productivity in specified systems, maintain productivity levels as defined by the client.
- Maintain 95% quality rating
- Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
