Coder Physician

Omega Healthcare Management Services • Boca Raton, FL

3d • Remote

About The Position

The Coder Physician abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records. The role assigns principal and secondary diagnoses and procedures with accurate sequencing, applies technical coding principles and DRG/APC reimbursement expertise, and enters pertinent coded data into multiple software systems and encoders. The position focuses on Neurosurgery E/M, office injection procedures, and surgical spine cases at a Trauma Level 1 facility.

The coder follows official coding guidelines and applicable regulatory, accreditation, State, and Federal requirements. The role extracts relevant data from patient health records, determines appropriate coding for reports and billing documents, identifies physician services and procedures for reporting, and tracks productivity in specified systems while meeting client productivity and quality expectations. The position requires compliance with company policies, including HIPAA and other compliance requirements.

This is a full-time remote position, generally Monday through Friday. The preferred schedule is between 8 a.m. and 5 p.m. CST, with a flexible start time; during the first week, the employee must be available from 8 a.m. to 5 p.m. CST for initial training. The position occasionally requires long hours and weekend work. No travel is required.

Requirements

• At least 3 years of experience coding Neurosurgery E/M, office injections, and surgical spine cases.
• A minimum of two to four years of current production coding experience in both acute care and professional-fee settings.
• Successful completion of an AAPC- or AHIMA-approved Coding Certificate Program.
• CPC or additional certification.
• Experience with Epic and 3M.
• Ability to work 8 a.m. to 5 p.m. CST, or to work the majority of hours within that period.
• Good verbal and written communication skills.
• Ability to achieve client productivity expectations within four weeks and maintain them.
• Ability to maintain 95% coding accuracy.
• Ability to learn new workflows and technology easily.
• Knowledge of coding conventions and rules established by AHIMA, AMA, AHA, and CMS for diagnostic and surgical procedural code assignment.
• Knowledge of JCAHO, coding compliance, and HIPAA/HITECH standards affecting medical records and their impact on reimbursement and accreditation.
• Ability to prioritize and multitask in a fast-paced, changing environment.
• Ability to work across 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 build credibility and trust and maintain relationships with key business partners.
• Ability to maintain courteous and professional working relationships with employees at all organizational levels.
• Excellent analytical, critical-thinking, and problem-solving skills.
• Skill in operating a personal computer and using a variety of software applications.

Responsibilities

• Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records.
• Assign correct principal and secondary diagnoses and principal and secondary procedure codes, with accurate sequencing.
• Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
• Abstract and code pertinent medical data into multiple software programs and encoders.
• Follow official coding guidelines when reviewing and analyzing health records.
• Maintain compliance with external regulatory and accreditation requirements and applicable State and Federal regulations.
• Extract pertinent data from patient health records and determine appropriate coding for reports and billing documents.
• Identify codes for reporting medical services and procedures performed by physicians.
• Enter codes into computer systems used by different clients.
• Track and document productivity in specified systems and meet client-defined productivity levels.
• Maintain a 95% quality rating and coding accuracy.
• Perform duties in compliance with company policies and procedures, including HIPAA and compliance requirements.

What This Job Offers

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