Coder Outpatient

Omega Healthcare Management Services•Boca Raton, FL

7d•Remote

About The Position

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.

Requirements

5 years credentialed - Hospital CVIR Coding Experience
Epic experience
NCCI/OCE Billing Edits Experience
Must hold the CIRCC credential

Nice To Haves

Ability to prioritize and multi-task in a fast-paced, changing environment.
Ability to work in all work types and specialties.
Ability to self-motivate, set goals, and meet deadlines.
Leadership, mentoring, and interpersonal skills.
Excellent presentation, verbal and written communication skills.
Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
Courteous and professional working relationships with employees at all levels of the organization.
Excellent analytical, critical thinking and problem solving skills.
Skill in operating a personal computer and utilizing a variety of software applications.
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.

Responsibilities

Abstracting, coding, sequencing and interpreting clinical information from various medical records.
Assigning correct principal diagnoses, secondary diagnoses, and principal/secondary procedure codes with accurate sequencing.
Utilizing technical coding principles and DRG/APC reimbursement expertise.
Abstracting and coding pertinent medical data into software programs and/or encoders.
Reviewing and analyzing health records according to official coding guidelines.
Maintaining compliance with regulatory, accreditation, State, and Federal regulations.
Extracting pertinent data from patient health records to determine appropriate coding for reports and billing.
Identifying codes for reporting medical services and physician-performed procedures.
Entering codes into various client-dependent computer systems.
Tracking and documenting productivity in specified systems and maintaining client-defined productivity levels.
Maintaining a 95% quality rating.
Performing duties in compliance with Company policies and procedures, including HIPAA and compliance.