Coder Physician

Omega Healthcare Management Services•Boca Raton, FL

1d•Remote

About The Position

The Coder Physician abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, professional fee, and clinical medical records. The role assigns principal and secondary diagnoses and procedures, using coding principles and DRG/APC reimbursement expertise to ensure accurate coding and sequencing. It abstracts pertinent medical data into software programs and encoders, follows official coding guidelines, and helps maintain compliance with regulatory, accreditation, State, and Federal requirements. The position extracts relevant information from patient health records, determines appropriate codes for reports and billing documents, identifies codes for physician services and procedures, and enters codes into client-specific computer systems. The coder tracks and documents productivity, meets client-defined productivity levels, and maintains a 95% quality rating. Duties must be performed in compliance with company policies, including HIPAA and compliance requirements. This is a full-time remote role based in a home office. Work is generally Monday through Friday, 8:00 a.m. to 5:00 p.m.; occasional long hours and weekend work may be required. Travel is minimal, up to 5%.

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 professional fee coding.
Certified Professional Coder (CPC), CCS-P, or equivalent coding credential.
At least two years of recent, credentialed professional fee coding experience in Obstetrics/Gynecology.
At least two years of Epic experience.
At least two years of 3M experience.
Knowledge of coding conventions and rules established by AHIMA, AMA, AHA, and CMS for diagnostic and surgical procedural code assignment.
Knowledge of JCAHO, coding compliance, and HIPAA HITECH standards affecting medical records and their impact on reimbursement and accreditation.
Ability to prioritize and multitask in a fast-paced, changing environment and work across work types and specialties.
Ability to self-motivate, set goals, and meet deadlines.
Excellent analytical, critical-thinking, problem-solving, presentation, verbal, and written communication skills.
Ability to develop and maintain relationships with business partners through credibility and trust, and maintain courteous, professional working relationships with employees at all levels.
Skill in operating a personal computer and using a variety of software applications.

Nice To Haves

Primary Care experience.
NICU experience.

Responsibilities

Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional fee, and clinical medical records.
Assign correct principal and secondary diagnoses and principal and secondary procedure codes, with accurate sequencing.
Use coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
Abstract and enter pertinent medical data into software programs, encoders, and client-specific computer systems.
Review and analyze health records in accordance with official coding guidelines.
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.
Track and document productivity in specified systems and maintain client-defined productivity levels.
Maintain a 95% quality rating.
Perform duties in compliance with company policies and procedures, including HIPAA and compliance policies.