Coder Physician

Omega Healthcare Management Services•Boca Raton, FL

1d•Remote

About The Position

Under limited supervision, the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures.

Requirements

Knowledge of coding convention and rules established by the AHIMA , American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.
Skill in operating a personal computer and utilizing a variety of software applications.
Proficiency in IP E/M coding is a must, with a minimum of 2 years of experience.
In-depth knowledge of Hematology and Oncology diagnosis coding is essential.
Strong attention to detail and excellent analytical skills.
Ability to work independently and manage time effectively.
Excellent communication skills for collaboration with healthcare professionals.
Proficiency in using coding software and electronic health record systems.
Familiarity with medical terminology and anatomy.
A positive and collaborative attitude, with a willingness to learn and adapt.
Must have access to 2 screens/monitors for efficient remote work.
Successful completion of an AAPC or AHIMA-approved Coding Certificate Program
a minimum of two to four years of current production coding experience in both acute care and profee.

Nice To Haves

Experience in Neurosurgery and Orthopedic Surgery coding.

Responsibilities

Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records.
Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.
Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
Abstracts and codes pertinent medical data into multiple software programs and/or encoders.
Follows official coding guidelines to review and analyze health records.
Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.
Extracts pertinent data from the patient’s health record and determines appropriate coding for reports and billing documents.
Identifies codes for reporting medical services, procedures performed by physicians.
Enters codes into various computer systems dependent upon the various clients.
Track and document productivity in specified systems, maintain productivity levels as defined by the client.
Maintain 95% quality rating
Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
Code and abstract medical records accurately and efficiently, ensuring compliance with coding guidelines and regulations.
Review and analyze medical documentation to assign appropriate ICD-10-CM, CPT, and HCPCS codes.
Stay updated with the latest coding standards, guidelines, and industry trends, especially in Hematology and Oncology.
Collaborate with physicians and healthcare providers to clarify and obtain necessary information for accurate coding.
Ensure timely and efficient coding processes to meet client deadlines.
Maintain a high level of coding accuracy and quality, adhering to OMH Healthedge Holdings Inc's coding standards.
Participate in regular team meetings and provide constructive feedback to improve coding processes.
Assist in training and mentoring new coders, sharing your expertise and best practices.
Stay organized and manage multiple coding projects simultaneously, prioritizing tasks effectively.