Coder Physician

Essential Job Functions

• 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.

Key Success Indicators/Attributes

• 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.

Supervisory Responsibility

No

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.

Travel

Minimal travel required; up to 5%

Required Education and Experience

Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee. 

Preferred Education and Experience

N/A

Additional Eligibility Qualifications

Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.

Responsibilities

• Code and abstract medical records accurately and efficiently, ensuring compliance with coding guidelines and regulations.
• Review and analyze medical documentation to assign appropriate ICD-10-CM, CPT, and HCPCS codes.
• Stay updated with the latest coding standards, guidelines, and industry trends, especially in Hematology and Oncology.
• Collaborate with physicians and healthcare providers to clarify and obtain necessary information for accurate coding.
• Ensure timely and efficient coding processes to meet client deadlines.
• Maintain a high level of coding accuracy and quality, adhering to OMH Healthedge Holdings Inc's coding standards.
• Participate in regular team meetings and provide constructive feedback to improve coding processes.
• Assist in training and mentoring new coders, sharing your expertise and best practices.
• Stay organized and manage multiple coding projects simultaneously, prioritizing tasks effectively.

Qualifications

• Proficiency in IP E/M coding is a must, with a minimum of 2 years of experience.
• Preferred but not required: Experience in Neurosurgery and Orthopedic Surgery coding.
• Strong attention to detail and excellent analytical skills.
• Ability to work independently and manage time effectively.
• Excellent communication skills for collaboration with healthcare professionals.
• Proficiency in using coding software and electronic health record systems.
• Familiarity with medical terminology and anatomy.
• A positive and collaborative attitude, with a willingness to learn and adapt.
• Must have access to 2 screens/monitors for efficient remote work.

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [email protected].