Coder Physician

Omega Healthcare Management ServicesBoca Raton, FL

About The Position

Scope Pro fee coder with a minimum of 3 year’s experience coding orthopedic EM and procedures at a trauma 1 facility. Epic experience required and Codify experience preferred. Schedule will be M-F preferably between 8am and 5 pm CST, be the start time can be flexible within reason. For the first week of training candidates would need to be available 8a-5p CST

Requirements

  • 3 + years' experience coding orthopedic EM and procedures
  • Epic experience
  • Able to work M-F with the majority of the shift between 8a-5p CST

Nice To Haves

  • Codify experience preferred

Responsibilities

  • Strong proficiency in CPT, ICD-10-CM, and HCPCS Level II coding
  • Demonstrated expertise in Orthopedic specialty coding , including: Fractures, dislocations, sprains/strains Arthroscopy, joint replacements, spinal procedures Casting, splinting, and injections
  • Advanced knowledge of Evaluation & Management (E/M) coding guidelines (including 2021+ documentation standards)
  • Ability to accurately assign modifiers (e.g., -25, -57, -59, -76, -RT/LT, -XS/XU) based on documentation
  • Strong understanding of medical necessity , payer-specific guidelines, and LCD/NCD policies
  • Ability to analyze provider documentation and identify gaps or query opportunities
  • Ensure compliance with AMA, CMS, and payer-specific regulations
  • Experience with audit readiness and coding quality standards (≥95% accuracy target)
  • Expertise in minor and major orthopedic surgical procedures
  • Ability to distinguish between global vs. non-global services
  • Experience coding: Surgical packages (pre/post-op considerations) In-office vs. facility-based procedures
  • Strong understanding of bundling/unbundling (NCCI edits)
  • Accurate leveling of office, outpatient, hospital, and consult visits
  • Strong knowledge of: MDM elements (Medical Decision Making) Time-based coding when applicable
  • Ability to appropriately link E/M with procedures (modifier -25 usage)
  • Strong attention to detail with the ability to meet: Productivity targets (e.g., charts per hour/day) Quality benchmarks
  • Ability to manage high-volume workloads with quick turnaround times
  • Strong problem-solving skills to resolve coding edits and denials
  • Ability to effectively communicate with providers regarding documentation improvement
  • Participate in coding education and feedback sessions
  • Work collaboratively with billing, auditing, and compliance teams
  • Able to pick up new workflows and technology easily
  • Able to ramp up productivity in 4 weeks
  • Maintain 95% accuracy in all coding
  • Good written and verbal communication
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