Coder Physician

The coder Physician reviews medical records and performs coding on all diagnoses, procedures, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures.

Essential Job Functions

• Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
• Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes, with attention to accurate sequencing.
• Utilizes technical coding principles 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 as well as state and federal regulations.
• Extract pertinent data from the patient’s health record and determine appropriate coding for reports and billing documents.
• Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
• Track and document productivity in specified systems and maintain productivity levels defined by the client.
• Maintain a 95% quality rating.
• Perform duties in compliance with the Company’s policies and procedures, including, but not limited to, those related toHIPAA and compliance.

Required Education and Experience

Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two years of current production coding experience in profee Hospitalist E&M

CPC

EPIC recommended

pCAC trained on

Pro-Fee E/M - 2021 Guidelines Pro-Fee E/M - Critical Care Pro-Fee E/M - Endocrinology Pro-Fee E/M - Family Medicine Pro-Fee E/M - Hospitalist Pro-Fee E/M - Internal Medicine Pro-Fee E/M - Pediatric Pro-Fee Setting - Clinic/Physician Office Pro-Fee Setting - Hospital Inpatient Pro-Fee Setting - Hosptial Outpatient - Observation Pro-Fee Setting - Urgent Care Systems - CAC Systems - Encoder Pro Systems - Epic

Founded in 2003, Omega Healthcare Management Services™ (Omega Healthcare) empowers healthcare organizations to deliver exceptional care while enhancing financial performance. We help clients increase revenues, decrease costs, and improve the overall patient-provider-payer experience through our comprehensive portfolio of technology and clinically enabled solutions. Omega Healthcare has 30,000 employees across 14 delivery centers in the United States, India, Colombia, and the Philippines.

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