Coder Physician

Omega Healthcare Management Services•Boca Raton, FL
•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 procedure codes, applies accurate sequencing, and uses coding principles and DRG/APC reimbursement expertise. The coder abstracts pertinent data into software programs and encoders, follows official coding guidelines, and maintains compliance with regulatory, accreditation, state, federal, company, HIPAA, and compliance requirements. The role also identifies codes for medical services and physician procedures, enters codes into client-dependent computer systems, tracks and documents productivity, meets client-defined productivity levels, and maintains a 95% quality rating. This is a full-time remote position, generally Monday through Friday, 8:00 a.m. to 5:00 p.m. It may occasionally require long hours and weekend work. Minimal travel is required, up to 5%.

Requirements

  • Successful completion of an AAPC- or AHIMA-approved Coding Certificate Program.
  • Two to four years of current production coding experience in both acute care and professional-fee coding.
  • Two years of professional-fee coding experience.
  • Experience coding Cardiology, Cardiothoracic, and Vascular.
  • Epic experience.
  • 3M experience.
  • Microsoft experience.
  • Computer knowledge.
  • Must hold one or more of the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P. The qualifications section also lists CPC, RHIT, RHIA, or equivalent.
  • 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 personal credibility and trust and maintain relationships with key business partners.
  • Excellent analytical, critical-thinking, and problem-solving skills.
  • Skill in operating a personal computer and using a variety of software applications.
  • 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.

Responsibilities

  • Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records.
  • Assign principal and secondary diagnoses and principal and secondary procedure codes, ensuring accurate sequencing.
  • Use coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
  • Abstract pertinent medical data into multiple software programs and/or encoders.
  • Follow official coding guidelines to review and analyze health records.
  • Maintain compliance with external regulatory and accreditation requirements and 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 as required by different clients.
  • Track and document productivity in specified systems and maintain productivity levels defined by the client.
  • Maintain a 95% quality rating.
  • Perform duties in compliance with company policies and procedures, including those related to HIPAA and compliance.
  • Maintain courteous and professional working relationships with employees at all levels of the organization.
  • Travel as required, up to 5%.
  • Perform other duties as assigned; duties and responsibilities may change.
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