Coder Outpatient

ESSENTIAL FUNCTIONS:

• Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM, CPT, and HCPCS according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing. 

• Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.

• Must be familiar with Ambulatory Payment Categories (APCs, the Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, Local and National Coverage Decisions, and other medical necessity/compliance guidelines for billing and coding. 

• May verify, edit and/or enter charges based on documentation or payer/billing.

• Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. 

• Follow coding workflows for service type to include addressing compliance reviews. 

• Submit physician queries when clarification of documentation is needed.

• Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.

• May assist in training and reviewing the work of other coders for accuracy and efficiency. 

• Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department.

• Seek advice and guidance as needed to ensure proper understanding. 

• Assist others with responsibilities and adjusts work schedule to meet department needs.

• Use independent discretion/decision-making while effectively working remotely.

• Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions. 

• Maintain coding education hours and renew annual coding credentials as applicable.

• Complete all assigned compliance courses within the designated period.

• Conform to AHIMA’s Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions.

• Other related job tasks or responsibilities as assigned.

Additional Information: 

The position serves internal co-workers and external customers, clients, and contractors. 

Access to and/or work with sensitive and/or confidential information. 

KNOWLEDGE, SKILLS & ABILITIES:

 The requirements below represent the required knowledge, skills, and/or abilities. 

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 employeerelationsus@omegahms.com.