Coder Physician

Omega Healthcare Management Services•Boca Raton, FL

About The Position

The Coder Physician abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. The role assigns principal and secondary diagnoses and procedure codes, applies accurate sequencing, and uses technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes. The coder abstracts pertinent medical data into software programs and encoders, follows official coding guidelines, and ensures compliance with external regulatory and accreditation requirements and state and federal regulations. The position extracts data from patient health records to determine appropriate coding for reports and billing documents, identifies codes for physician-provided medical services and procedures, and enters codes into client-specific computer systems. It also tracks and documents productivity in specified systems, maintains client-defined productivity levels and a 95% quality rating, and performs duties in accordance with company policies and procedures, including HIPAA and compliance policies. Success in the role requires the ability to manage changing priorities and multiple tasks, work across work types and specialties, stay motivated and meet deadlines, and communicate and collaborate effectively. The role also calls for analytical and problem-solving ability, computer and software skills, and knowledge of medical coding conventions, regulations, and standards.

Requirements

Two years of experience.
EPIC required.
Ability to prioritize and multitask in a fast-paced, changing environment.
Ability to work in all 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 while developing and maintaining relationships with key business partners.
Ability to maintain courteous and professional working relationships with employees at all levels of the organization.
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 procedure 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, pro-fee, and clinical medical records.
Assign principal and secondary diagnoses and principal and secondary procedure codes, ensuring accurate sequencing.
Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
Abstract and code pertinent medical data into software programs and 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 medical services and procedures performed by physicians.
Enter codes into computer systems used 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.