Coder Physician

Omega Healthcare Solutions • Boca Raton, FL

1d

About The Position

Omega Healthcare Management Services is seeking a Pro fee coder with a minimum of 3 years of experience coding neurosurgery EM and procedures at a trauma 1 facility. Epic experience is required, and Codify experience is preferred. The schedule will be Monday-Friday, preferably between 8 am and 5 pm CST, though the start time can be flexible within reason. For the first week of training, candidates would need to be available 8 am-5 pm CST.

Requirements

• Minimum of 3 years experience coding neurosurgery EM and procedures at a trauma 1 facility.
• Epic experience required.
• Advanced proficiency in CPT, ICD-10-CM, and HCPCS Level II coding.
• Strong expertise in professional fee (pro fee) neurosurgery coding, including complex spine and cranial procedures.
• Demonstrated experience coding both Evaluation & Management (E/M) services and surgical procedures.
• In-depth understanding of 2021+ E/M guidelines (office/outpatient and inpatient/observation where applicable).
• Ability to appropriately assign modifiers (e.g., -25, -59, -57, -58, -78, -79, -24) with clear documentation support.
• Strong familiarity with NCCI edits, MUEs, and payer-specific coding policies.
• Comprehensive understanding of neurosurgical anatomy and terminology.
• Experience coding spinal surgeries (cervical, thoracic, lumbar).
• Experience coding minimally invasive and complex neurosurgical procedures.
• Experience coding neurodiagnostic services when applicable (EMG, nerve conduction studies, etc.).
• Ability to accurately code new and established visits, consults (if applicable), hospital visits, and critical care (if required).
• Strong knowledge of Medical Decision Making (MDM) leveling and/or time-based coding.
• Capability to support modifier -25 usage for same-day procedures with E/M.
• Skilled in analyzing provider documentation to ensure coding accuracy and completeness.
• Ability to identify documentation gaps and recommend clarifications.
• Strong understanding of CMS guidelines, payer regulations, and audit compliance standards.
• Experience with denial avoidance and resolution strategies, especially for procedure bundling and medical necessity.
• Strong ability to interpret operative reports and complex surgical documentation.
• Experience identifying coding opportunities and revenue optimization areas.
• Ability to resolve coding edits, denials, and payer queries.
• Ability to effectively communicate with providers regarding documentation improvement.
• Experience collaborating with billing, CDI, and audit teams.
• Strong written and verbal communication skills for querying and education.

Nice To Haves

• Codify experience preferred.

Responsibilities

• Advanced proficiency in CPT, ICD-10-CM, and HCPCS Level II coding.
• Strong expertise in professional fee (pro fee) neurosurgery coding, including complex spine and cranial procedures.
• Demonstrated experience coding both Evaluation & Management (E/M) services and surgical procedures.
• In-depth understanding of 2021+ E/M guidelines (office/outpatient and inpatient/observation where applicable).
• Ability to appropriately assign modifiers (e.g., -25, -59, -57, -58, -78, -79, -24) with clear documentation support.
• Strong familiarity with NCCI edits, MUEs, and payer-specific coding policies.
• Comprehensive understanding of neurosurgical anatomy and terminology, including brain, spinal cord, and peripheral nervous system; spine procedures (laminectomy, discectomy, fusion, instrumentation); and cranial procedures (tumor resections, craniotomies, shunt placements).
• Experience coding spinal surgeries (cervical, thoracic, lumbar), minimally invasive and complex neurosurgical procedures, and neurodiagnostic services when applicable (EMG, nerve conduction studies, etc.).
• Ability to accurately code new and established visits, consults (if applicable), hospital visits, and critical care (if required).
• Strong knowledge of Medical Decision Making (MDM) leveling and/or time-based coding.
• Capability to support modifier -25 usage for same-day procedures with E/M.
• Skilled in analyzing provider documentation to ensure coding accuracy and completeness.
• Ability to identify documentation gaps and recommend clarifications.
• Strong understanding of CMS guidelines, payer regulations, and audit compliance standards.
• Experience with denial avoidance and resolution strategies, especially for procedure bundling and medical necessity.
• Strong ability to interpret operative reports and complex surgical documentation.
• Experience identifying coding opportunities and revenue optimization areas.
• Ability to resolve coding edits, denials, and payer queries.
• Ability to effectively communicate with providers regarding documentation improvement.
• Experience collaborating with billing, CDI, and audit teams.
• Strong written and verbal communication skills for querying and education.

Benefits

• Consideration for employment without regard to race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law.
• Reasonable accommodations when needed for applicants and candidates with disabilities or religious observances.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed