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.
QUALIFICATIONS
Certifications: Certified Coding Associate (CCA), Certified Professional Coder
(CPC), Certified Coding Specialist (CCS), or Registered Health Information
Technician (RHIT) preferred.
Coder must be able to code all OP chart types: Amb Surgery, Observation,
Ancillary, Wound Care and ED.
Client trains on each system and site.
Systems: Meditech
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 [http://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 [employeerelationsus@omegahms.com].