Coder Outpatient

Omega Healthcare Solutions•Boca Raton, FL

23h•$27 - $40•Remote

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.