Coder Outpatient

Omega Healthcare Solutions • Boca Raton, FL

2d • $27 - $40 • Remote

About The Position

The Coder Outpatient assigns diagnosis and procedure codes for hospital billing using ICD-10-CM, CPT, and HCPCS in accordance with CMS requirements. The role codes all outpatient chart types, including ambulatory surgery, observation, ancillary, wound care, and emergency department records. The coder may verify, edit, or enter charges based on documentation or payer and billing information, and submits physician queries when clarification is needed. The position works with sensitive and confidential information and serves internal coworkers as well as external customers, clients, and contractors. Client training is provided for each system and site; the listed system is Meditech.

The coder must maintain at least 95% accuracy on quality reviews and meet assigned productivity standards. The role requires current knowledge of outpatient coding and billing rules, compliance requirements, workflows, and applicable laws and policies. The coder may support training and quality review for other coders, contribute to department goals, and work remotely using independent judgment. Continuing education, credential renewal where applicable, and completion of compliance courses are expected. The role also requires adherence to AHIMA ethical coding standards, the LifePoint Attendance Policy, and confidentiality requirements.

Omega Healthcare provides a benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also qualify for bonus programs, commissions, or other variable incentives. Eligibility may vary by position, location, and tenure.

Requirements

• Ability to code all outpatient chart types: ambulatory surgery, observation, ancillary, wound care, and emergency department.
• Familiarity with ICD-10-CM, CPT, HCPCS, APCs, OPPS, NCCI guidelines, coverage decisions, and medical necessity and compliance guidelines.
• Ability to achieve and maintain 95% accuracy on quality reviews and meet assigned productivity standards.
• Ability to work remotely using independent discretion and decision-making.
• Ability to maintain confidentiality while working with sensitive and confidential information.

Nice To Haves

• Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) credential preferred.

Responsibilities

• Assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS in accordance with CMS hospital-billing requirements.
• Meet assigned productivity standards and achieve and maintain 95% accuracy on quality reviews.
• Apply knowledge of APCs, OPPS, NCCI guidelines, coverage decisions, medical necessity, and compliance requirements.
• Verify, edit, and/or enter charges based on documentation or payer and billing information, as applicable.
• Maintain knowledge of applicable coding rules, regulations, policies, laws, and guidelines.
• Follow coding workflows for each service type, including addressing compliance reviews.
• Submit physician queries when documentation clarification is needed.
• Maintain productive working relationships with physicians, nurses, medical staff, and hospital employees.
• Assist with training and reviewing other coders’ work for accuracy and efficiency, as needed.
• Recommend, implement, and monitor actions supporting department goals, as appropriate.
• Seek advice and guidance when needed to ensure proper understanding.
• Assist others with responsibilities and adjust work schedules to meet department needs.
• Use independent discretion and decision-making while working remotely.
• Attend required educational webinars, conference calls, coding seminars, and coding discussions.
• Maintain coding education hours and renew annual coding credentials, as applicable.
• Complete assigned compliance courses within the designated period.
• Follow AHIMA’s Code of Ethics and Standards of Ethical Coding and the LifePoint Attendance Policy.
• Protect patient and employee privacy and dignity and maintain confidentiality without infractions.
• Perform other related tasks or responsibilities as assigned.

Benefits

• Health coverage may be available.
• Dental coverage may be available.
• Vision coverage may be available.
• Voluntary insurance options may be available.
• 401(k) plan with employer match may be available.
• Professional development opportunities may be available.
• Paid time off may be available.
• Holiday pay may be available.
• Eligible employees may have access to bonus programs, commissions, or other variable incentive plans.

What This Job Offers

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