Omega HMS-posted 17 days ago
Full-time • Mid Level
Remote • Boca Raton, FL
5,001-10,000 employees
Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services

Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, 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.

  • 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.
  • Full time Neurosurgeon profee coder with 2+ years recent experience.
  • Office E&M, Office procedures, Hospital rounding, Hospital Procedures to include spinal and brain surgeries.
  • Project uses Cerner, Revcycle, Optum Encoder Pro. Experience with all 3 is preferred but will train on the systems for the right candidate.
  • Denials and Edits experience preferred.
  • Good computer skills to learn new systems.
  • Additional specialties preferred.
  • Schedule is 8 hours Mon-Fri with majority of shift between 6am and 4pm CST, start time can be flexible within reason
  • Good verbal and written communication skills.
  • Able to achieve 8 CPH productivity within 4 weeks and maintain after.
  • Able to maintain 95% coding accuracy.
  • Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee.
  • Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
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