Coder Physician

Omega Healthcare Solutions • Boca Raton, FL

10d • $25 - $27 • 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 position assigns diagnoses and procedures, including principal and secondary diagnoses and procedures, using coding principles and DRG/APC reimbursement expertise. The role reviews health records according to official coding guidelines, extracts pertinent data for reporting and billing, and enters codes into software systems and encoders for different clients.

The position maintains compliance with regulatory, accreditation, state, and federal requirements, as well as company policies and procedures, including HIPAA and compliance policies. The coder tracks productivity, meets client-defined productivity levels, and maintains a 95% quality rating. The job is performed in a remote home office, generally Monday through Friday, 8:00 a.m. to 5:00 p.m., with occasional long hours and weekend work. Travel is minimal, up to 5%.

Requirements

• Successful completion of an AAPC- or AHIMA-approved Coding Certificate Program.
• Two to four years of current production coding experience in both acute care and professional-fee coding.
• At least two years of E/M coding experience; proficiency in E/M coding is required.
• In-depth knowledge of Pain Management diagnosis coding.
• Must hold one or more of the following certificates or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
• 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, reimbursement, and accreditation.
• Ability to work across work types and specialties.
• Strong attention to detail, analytical, critical-thinking, and problem-solving skills.
• Ability to prioritize and multitask in a fast-paced, changing environment; self-motivate, set goals, and meet deadlines.
• Ability to work independently and manage time effectively.
• Excellent verbal, written, and presentation communication skills, and the ability to collaborate with healthcare professionals.
• Ability to build and maintain trusted relationships with business partners and professional relationships with employees at all organizational levels.
• Skill operating a personal computer and using a variety of software applications.
• Proficiency with coding software and electronic health record systems.
• Familiarity with medical terminology and anatomy.
• Access to two screens or monitors for remote work.
• Positive, collaborative attitude and willingness to learn and adapt.

Nice To Haves

• Orthopedic Surgery coding experience is preferred but not required.

Responsibilities

• Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records.
• Assign accurate principal and secondary diagnoses and principal and secondary procedure codes, with appropriate sequencing.
• Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
• Abstract pertinent medical data into software programs and encoders, following official coding guidelines to review and analyze health records.
• Maintain compliance with regulatory and accreditation requirements, state and federal regulations, and company policies, including HIPAA.
• Extract relevant information from patient health records and determine appropriate coding for reports and billing documents.
• Identify codes for medical services and physician-performed procedures, and enter them into client-specific computer systems.
• Track and document productivity, meet client-defined productivity levels, and maintain a 95% quality rating.
• Code and abstract medical records accurately and efficiently in accordance with coding guidelines and regulations.
• Review medical documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes.
• Stay current with coding standards, guidelines, and industry trends, particularly in Hematology and Oncology.
• Collaborate with physicians and healthcare providers to clarify information needed for accurate coding.
• Complete coding work efficiently and on time to meet client deadlines.
• Participate in team meetings and provide feedback to improve coding processes.
• Assist in training and mentoring new coders.
• Organize and prioritize multiple coding projects effectively.
• Perform other duties as assigned; duties and responsibilities may change.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Eligible employees may have access to bonus programs, commissions, or other variable incentive plans; eligibility may vary by position, location, and tenure.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed