Coder Physician

Omega Healthcare Management Services•Boca Raton, FL

4d•Remote

About The Position

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.

Requirements

Ability to prioritize and multi-task 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 develop and maintain relationships with key business partners by building personal credibility and trust.
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 utilizing a variety of software applications.
Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.
Two years of Primary Care including AWV, EPSDT, TCM (Annual Wellness Visits (AWV) for older adults, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) for children, and Transitional Care Management (TCM) for patients moving between care settings).
Epic is Required.
Microsoft experience.
CPC, RHIT, RHIA, or equivalent.
Computer knowledge is a must.

Nice To Haves

3M experience preferred.

Responsibilities

Abstracting, coding, sequencing and interpreting clinical information from various medical records.
Assigning correct principal and secondary diagnoses and procedure codes with accurate sequencing.
Utilizing technical coding principles and DRG/APC reimbursement expertise.
Abstracting and coding medical data into software programs and encoders.
Reviewing and analyzing health records according to official coding guidelines.
Maintaining compliance with regulatory, accreditation, State, and Federal requirements.
Extracting pertinent data and determining appropriate coding for reports and billing documents.
Identifying codes for reporting medical services and physician-performed procedures.
Entering codes into various computer systems.
Tracking and documenting productivity and maintaining defined productivity levels.
Maintaining a 95% quality rating.
Performing duties in compliance with company policies, including HIPAA and compliance.