Coder Outpatient

Omega Healthcare SolutionsBoca Raton, FL
$27 - $40Remote

About The Position

The position serves internal co-workers and external customers, clients, and contractors. Access to and/or work with sensitive and/or confidential information.

Requirements

  • Must be familiar with Ambulatory Payment Categories (APCs, the Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, Local and National Coverage Decisions, and other medical necessity/compliance guidelines for billing and coding.
  • The requirements below represent the required knowledge, skills, and/or abilities.

Nice To Haves

  • May verify, edit and/or enter charges based on documentation or payer/billing.

Responsibilities

  • Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM, CPT, and HCPCS according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.
  • Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
  • Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
  • Follow coding workflows for service type to include addressing compliance reviews.
  • Submit physician queries when clarification of documentation is needed.
  • Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.
  • May assist in training and reviewing the work of other coders for accuracy and efficiency.
  • Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department.
  • Seek advice and guidance as needed to ensure proper understanding.
  • Assist others with responsibilities and adjusts work schedule to meet department needs.
  • Use independent discretion/decision-making while effectively working remotely.
  • Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions.
  • Maintain coding education hours and renew annual coding credentials as applicable.
  • Complete all assigned compliance courses within the designated period.
  • Conform to AHIMA’s Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions.
  • Other related job tasks or responsibilities as assigned.

Benefits

  • health, dental, and vision coverage
  • voluntary insurance options
  • a 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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