Coder Physician

Omega Healthcare Management Services•Boca Raton, FL

1d•Remote

About The Position

Responsible for abstracting, coding, sequencing, and interpreting clinical information from various medical records including inpatient, outpatient, emergency department, pro fee, and clinical records. This role involves assigning correct principal and secondary diagnoses and procedures, utilizing technical coding principles and DRG/APC reimbursement expertise. The coder will abstract and code pertinent medical data into multiple software programs and/or encoders, following official coding guidelines and maintaining compliance with regulatory, accreditation, State, and Federal requirements. They will extract data, determine appropriate coding for reports and billing, and identify codes for medical services and physician-performed procedures, entering them into various client-specific computer systems. Productivity tracking and maintenance of a 95% quality rating are essential, along with compliance with company policies, including HIPAA and compliance procedures.

Requirements

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.
Two years of Pulmonology, Nephrology, and Family Medicine experience required.
CPC, RHIT, RHIA, or equivalent.
Computer knowledge is a must.
Epic is Required.

Nice To Haves

HCC experience a plus.
3M experience preferred.
Microsoft experience.

Responsibilities

Abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records.
Assigning correct principal diagnoses, secondary diagnoses, principal procedure, and secondary procedure codes with attention to accurate sequencing.
Utilizing technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
Abstracting and coding pertinent medical data into multiple software programs and/or encoders.
Following official coding guidelines to review and analyze health records.
Maintaining compliance with external regulatory and accreditation requirements, and with State and Federal regulations.
Extracting pertinent data from the patient’s health record and determining appropriate coding for reports and billing documents.
Identifying codes for reporting medical services and procedures performed by physicians.
Entering codes into various computer systems dependent upon the various clients.
Tracking and documenting productivity in specified systems, maintaining productivity levels as defined by the client.
Maintaining a 95% quality rating.
Performing duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.