Coder Physician

Omega Healthcare SolutionsBoca Raton, FL

About The Position

Pro Fee coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures as well as EM visits; however, can take either surgery or EM experience. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cariology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST.

Requirements

  • NCCI/CCIedits and modifier indicators
  • Medically Unlikely Edits (MUEs)
  • Medical necessity denials
  • Modifiers 26 and TC
  • Modifiers 59, XE, XS, XP, and XU
  • Looking up NCDs and LCDs
  • Cardiac Caths
  • Interventions (PCI, stents, atherectomy, thrombectomy)
  • Electrophysiology studies and ablations
  • Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes)
  • Structural heart procedures (TAVR/TMVR, Watchman)
  • Experience with modifiers 51, 76 and 77
  • Office EMs
  • Hospital EMs (initial, subsequent, discharge, and consult)
  • EKGs (high volume of these)
  • Modifier 25
  • Global periods
  • Split shared
  • Office procedures (Echo's, stress tests, Holter monitor, vascular ultrasound, and device checks)

Nice To Haves

  • Experience with bariatric cases
  • Cerner experience
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