Coder Physician

Omega•Boca Raton, FL

1d•Remote

About The Position

This role is responsible for abstracting, coding, sequencing, and interpreting clinical information from various medical records including inpatient, outpatient, emergency department, pro fee, and clinical records. The coder will assign correct principal diagnoses, secondary diagnoses, and principal and secondary procedure codes with accurate sequencing. They will utilize technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes, abstracting and coding pertinent medical data into multiple software programs and/or encoders. The position requires adherence to official coding guidelines, external regulatory and accreditation requirements, and State and Federal regulations. The coder will extract pertinent data from patient health records to determine appropriate coding for reports and billing documents, identifying codes for medical services and physician-performed procedures, and entering these codes into various computer systems. Productivity tracking and maintenance of a 95% quality rating are essential. Duties must be performed in compliance with Company policies, including HIPAA and compliance regulations.

Requirements

Ability to prioritize and multi-task in a fast-paced, changing environment.
Demonstrate ability to work in all work types and specialties.
Demonstrate ability to self-motivate, set goals, and meet deadlines.
Demonstrate leadership, mentoring, and interpersonal skills.
Demonstrate 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.
Demonstrate 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.
Certified Professional Coder (CPC), CCS-P, or equivalent coding credential required.
Minimum of 2 years of recent, credentialed Professional Fee coding experience.
Minimum of 2 years of Professional Fee wound coding experience.
Minimum of 2 years of Epic experience.
Minimum of 2 years of 3M experience.

Nice To Haves

Successful completion of an AAPC or AHIMA-approved Coding Certificate Program

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, and principal and secondary procedure codes with accurate sequencing.
Utilizing technical coding principles 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, procedures performed by physicians and entering codes into various computer systems.
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.