Coder Outpatient

OmegaBoca Raton, FL

About The Position

Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cardiology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST.

Requirements

  • NCCI/CCI edits and modifier indicators
  • Medically Unlikely Edits (MUEs)
  • Medical necessity denials
  • Modifiers 59, XE, XS, XP, and XU
  • Looking up NCDs and LCDs
  • Cardiac Caths
  • Interventions (PCI, stents, atherectomy, thrombectomy)
  • Electrophysiology studies and ablations
  • Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes)
  • Structural heart procedures (TAVR/TMVR, Watchman)
  • Experience with modifiers 51, 76 and 77

Nice To Haves

  • Experience with bariatric cases
  • Cerner experience
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