Coder Physician

Omega Healthcare Management Services•Boca Raton, FL

About The Position

Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records. Assigns principal and secondary diagnoses and procedures, ensuring accurate sequencing, and applies technical coding principles and DRG/APC reimbursement expertise to select appropriate codes. The coder abstracts and codes pertinent medical data in multiple software programs and encoders, follows official coding guidelines when reviewing and analyzing health records, and maintains compliance with regulatory, accreditation, state, and federal requirements. The role includes extracting relevant data from patient health records, determining appropriate codes for reports and billing documents, identifying codes for physician-provided services and procedures, and entering codes into client-specific computer systems. The coder tracks and documents productivity, maintains client-defined productivity levels and a 95% quality rating, and follows company policies and procedures, including those concerning HIPAA and compliance.

Requirements

Successful completion of an AAPC- or AHIMA-approved Coding Certificate Program.
At least two years of post-certification experience.
At least two years of current production coding experience in professional-fee Primary Care E&M.
Current on-the-job coding experience.
CPC certification required.
EPIC experience required.
pCAC trained.
Experience in Family Medicine, Internal Medicine, Endocrinology, Pediatrics, and Urgent Care.

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 procedures, with accurate sequencing.
Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
Abstract and code pertinent medical data in multiple software programs and encoders.
Review and analyze health records according to official coding guidelines.
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 medical services and procedures performed by physicians.
Enter codes into computer systems used by various clients.
Track and document productivity in specified systems and maintain client-defined productivity levels.
Maintain a 95% quality rating.
Perform duties in accordance with company policies and procedures, including HIPAA and compliance requirements.