Coder Physician

Omega Healthcare SolutionsBoca Raton, FL
3d

About The Position

Under general supervision the incumbent independently performs coding of patient’s records to provide accurate physician, technical, supply, surgical and resident billing, and reimbursement, while ensuring compliance. The incumbent’s work is performed in the centralized clinic coding unit setting, which will include two or more of the following: professional fees, technical fees, multi-specialties, surgical, and/or resident staff coding and billing. Prior to submitting charges, the incumbent is required to review documentation for all patient visits and procedures, identify all billable services, and discuss with the provider when discrepancies occur in documentation. Codes and enters charges in the online charge entry system. Responsible for working workques and charge reconciliation. This position must have knowledge of the following system applications: Mainframe, EMR, EPIC Charge Capture, Word, Excel, Internet Explorer, Images, CITRIX, •Quantim, Microsoft Outlook, HIPAA Disclosures, and Incident Reporting.

Requirements

  • Experienced pro fee coder with a minimum of 5 years of experience in coding for an academic trauma level 1 facility Radiology (all modalities)
  • Epic experience required.
  • A CCS, CCS-P or CPC coding credential required.
  • Ability to follow ICD-10, CPT and HCPCS guidelines related to assigning single, and sequencing multiple diagnosis and procedure codes for appropriate professional and technical reimbursement and for data collection.
  • Ability to assign Evaluation and Management visit levels using the current guidelines.
  • Comprehensive knowledge of medical diagnostic and procedural terminology.
  • Knowledge of disease processes, anatomy and physiology, and medical terminology.
  • Ability to communicate technical and clinical billing information to physicians and clinical staff.
  • Ability to manage time schedules, deadlines, multiple requests, and priorities and to maintain productivity.
  • Excellent written and oral communication skills.
  • Abides by American Health Information Management Association’s established code of ethical principles to safeguard the public and contribute with the scope of this position to quality and efficiency in health care. Abides by all compliance principles regarding fraud and abuse in the reimbursement environments

Responsibilities

  • REVIEW, ABSTRACT AND CODE OUTPATIENT RECORDS TO ENSURE DATA QUALITY AND TO OPTIMIZE REIMBURSEMENT
  • CLINICAL CHARGE ENTRY
  • MISCELLANEOUS
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