Coder Outpatient

Omega Healthcare Solutions • Boca Raton, FL

1d • Remote

About The Position

Omega Healthcare Management Services is seeking an Outpatient Coder with 2+ years of experience in ICD-10-CM diagnosis and CPT procedures for observations, same-day surgery, and ancillary encounters. This role is based at a trauma level 1 facility and requires expertise in specialties such as cardiology, cardiothoracic, neurosurgery, orthopaedics, pulmonology, ENT, GI, and general surgery. The ideal candidate must be experienced with checking CCI and medical necessity edits, and proficient with Epic and 3M 360 CAC. The production expectation is 5-15 CPH on average, depending on the chart type. The schedule offers flexibility within reason, but availability for a 2-3 hour training block during client's regular business hours (8 am-4 pm PST) for the first few days is mandatory.

Requirements

• Minimum 2–5+ years of facility-based outpatient coding experience in an acute care setting.
• Proven experience coding observation services, same-day surgery (SDS), and ancillary encounters.
• Strong proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Thorough understanding of APC assignments, OPPS reimbursement methodology, and charge capture practices.
• Solid understanding of disease processes, surgical procedures, and diagnostic services relevant to outpatient hospital settings.
• In-depth knowledge of CMS guidelines, NCCI edits, LCD/NCD policies, and outpatient coding compliance standards.
• Familiarity with observation billing rules, including correct status assignment and time-based coding considerations.
• Experience working in a high-acuity environment, preferably within a Level 1 Trauma Center.
• Ability to analyze complex cases, including multi-visit same-day encounters and bundled services.
• Sound judgment in querying providers when documentation is incomplete or unclear.
• Effective written and verbal communication skills for interaction with providers, CDI teams, auditors, and leadership.
• Ability to provide coding feedback and participate in education initiatives.
• Epic and 3M 360 CAC experience required.
• Experienced with checking CCI and medical necessity edits.

Responsibilities

• Coding observation services, same-day surgery (SDS), and ancillary encounters (e.g., ED, radiology, lab, infusion, therapies).
• Accurately interpreting physician documentation, operative reports, and ancillary service records.
• Analyzing complex cases, including multi-visit same-day encounters and bundled services.
• Querying providers when documentation is incomplete or unclear.
• Communicating effectively with providers, CDI teams, auditors, and leadership.
• Providing coding feedback and participating in education initiatives.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed