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AI Summary
Inpatient coder with recent and multiple years' experience coding in a children's hospital. This role will be for multi-specialty coding for both medicine and surgical cases. The role can be utilized in areas where the experience is strongest, thus candidates do not need to be experience all specialties but should have experience in multiple specialties. Epic and 3M 360 CAC experience required. Schedule can be flexible after initial training. For initial training candidate must be available for the first week between 8a and 4p PST. Post initial training 50% of the shift should be worked during this timeframe. This is an 8 week project.
Skill & Competency Requirements
1. Core Coding Knowledge & Technical Skills
- Advanced knowledge of ICD‑10‑CM and ICD‑10‑PCS coding guidelines
- Strong understanding of MS‑DRG and APR‑DRG methodologies, including severity adjustment (SOI/ROM)
- Proficiency in coding complex inpatient encounters, including:
- Neonatal and pediatric intensive care (NICU/PICU)
- Congenital anomalies and genetic disorders
- Pediatric surgical procedures
- Transplants, oncology, trauma, and burn cases
- Ability to accurately assign:
- Principal diagnosis
- Secondary diagnoses (including MCC/CC capture)
- Principal and additional procedures
- Knowledge of Present on Admission (POA) indicators and reporting requirements
- Understanding of payer‑specific inpatient coding rules (Medicaid, managed care, commercial plans)
2. Pediatric & Neonatal Specialization
- In‑depth understanding of pediatric anatomy, physiology, and disease processes
- Specialized knowledge of neonatal coding, including:
- Birth weight and gestational age guidelines
- Perinatal conditions and maternal‑fetal linkage
- Newborn vs. neonatal vs. pediatric admission distinctions
- Ability to interpret and code age‑specific clinical indicators (e.g., developmental stages, weight‑based dosing, age‑related norms)
- Familiarity with pediatric subspecialties, such as:
- Pediatric cardiology and cardiothoracic surgery
- Pediatric neurology and neurosurgery
- Pediatric oncology and hematology
- Pediatric gastroenterology and pulmonology
3. Clinical Documentation Review & Interpretation
- Strong ability to interpret complex inpatient medical records, including:
- History & physicals
- Operative reports
- Consults
- Progress notes
- Discharge summaries
- Skilled at identifying missing, conflicting, or unclear documentation
- Ability to apply official coding guidelines when provider documentation is incomplete or unclear
- Knowledge of clinical indicators to support accurate diagnosis and procedure assignment
4. CDI Collaboration & Query Skills
- Experience working collaboratively with Clinical Documentation Integrity (CDI) teams
- Ability to recognize when a provider query is clinically and compliance‑appropriate
- Understanding of AHIMA/ACDIS‑compliant query practices
- Skill in applying clarified documentation accurately post‑query
- Comfortable discussing coding logic and guideline rationale with CDI staff and providers (as appropriate)
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
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 employeerelationsus@omegahms.com.
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