Omega

Role Description Under limited supervision the Insurance Follow-up Specialist reviews and manages the billing and collections for hospitals and physicians. This type of specialist acts as an intermediary between the medical institution, patients, and the insurance agency. They assist in filing insurance claims, determining correct reimbursements/adjustment/write-offs, and denial management. They also analyze plans to determine which benefits are covered, submit secondary insurance claims, generate patient statements, and follow-up on those submissions. - Work with insurance companies on behalf of hospitals and physician practices to resolve outstanding issues. - Analyze claims (denial/non-denial) in practice management systems, internal system and direct toward resolution (Payment, Adjustment & self-pay). - Technical billing and denial follow-up on all assigned payer claims. - Call Payer (Insurance/third parties) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay). - Identify potential process improvements, trends, issues and escalate to Supervisor. - Be part of initial and all ongoing training sessions to enhance knowledge of RCM processes. - Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions. - Identify trends/payer issues and escalate complex payer issues to the Supervisor, as necessary. - Maintain a working knowledge of client policies and procedures. Follow the Workflow documentation like SOP’s Update tracker, Issue Log and Trend logs. - Maintain quality standards as determined by management. - Assist the Manager or Supervisor in working priority reports promptly, effectively, and efficiently. - Maintain accurate records within a collections database. - Be a mentor to new employees and assist in their training and development. - Perform other duties as directed. - Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. Qualifications - 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 operations business partners by building personal credibility and trust. - Maintain courteous and professional working relationships with employees at all levels of the organization. - Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position. - Demonstrate excellent analytical, critical thinking and problem-solving skills. - Manage the Individual KRA’s as per the provided metrics. - Meet the productivity and quality targets of clients within the stipulated time. Ensure timely follow-up on pending claims and prepare and maintain individual status reports. - Skill in operating a personal or company owned computer and utilizing a variety of software applications is essential. Requirements - Knowledge of medical and insurance terminology such as CPT, ICD-9, ICD-10, HCPCS, co-pay, deductible or co-insurance, and full understanding of hospital/physician billing. - Must have industry knowledge of guideline requirements for Medicaid, Medicare, commercial payors and HIPAA. - Minimum 2-3 years’ experience in Denials Management/Collections/AR Follow-up and experience with standard office software products. - High School diploma or equivalent. Benefits - This is a full-time position. - Each employee’s schedule must be between the hours of 6:00 AM PST to 9 PM PST, Monday through Friday. - This position occasionally requires long hours and weekend work. - Minimal travel required; up to 5%. 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.

Role Description The AI Developer will be responsible for the hands-on development, fine-tuning, and deployment of specialty-specific AI models. This role focuses on the technical execution of our Agentic AI strategy, turning clinical documentation into precise medical codes. The AI Developer will work directly with Python and modern ML/DL and agentic frameworks to build autonomous systems that solve complex healthcare data challenges. - Develop and maintain production-ready Python code for Large Language Models (LLMs) and Small Language Models (SLMs). - Execute fine-tuning tasks on foundational models to optimize them for specific medical specialties and clinical nomenclatures. - Build and iterate on autonomous agents and multi-agent workflows using frameworks like LangChain or LlamaIndex. - Work within MLOps pipelines ensuring continuous integration and deployment of updated models. - Curate large datasets of unstructured clinical text to prepare for model training and validation. - Work closely with the team to translate architectural blueprints into functional, scalable code. Qualifications - Proven ability to work and collaborate effectively within a global, distributed team environment. - Demonstrated track record as a self-starter with a “go-getter” mindset and hands-on experience delivering scalable, production grade AI models. - Delivery of clean, maintainable, and efficient Python code that adheres to enterprise standards. - Measurable improvements in model precision and recall for assigned medical specialties. - Ability to pivot between broad LLM implementation and highly specialized SLM optimization. - Proactive identification of bottlenecks in agent reasoning or model inference. Requirements - Bachelor’s degree in computer science, data science, or a related field. - 5-9 years in software development with a heavy focus on machine learning and NLP. - Mastery of Python and deep experience with Deep Learning Models. - Practical experience in Machine Learning (ML) and fine-tuning foundation Large Language Models. - Demonstrated experience building agents that utilize reasoning (e.g. ReAct, Chain-of-Thought). Preferred Education and Experience - Experience building models for the medical coding use case. - Familiarity with HIPAA-compliant data handling and medical data formats (HL7, FHIR). - Proficiency with weights and biases, Hugging Face ecosystem, and vector databases. 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 handle, or feel objects, tools, or controls; - Reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. - 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 10%. Equal Employment Opportunity 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. 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.

Role Description Under limited supervision, the Coder ER reviews medical records and performs coding on all diagnoses, procedures, DRG/APC and charge codes. The Coder ER 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 ER will be charged with maintaining the confidentiality of patient records and procedures. - 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 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, 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. Qualifications - 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. Requirements - 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. - Minimal travel required; up to 5%. - 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 pro fee. - Must have the following certificates and/or licenses: CPC, COC, RHIA, RHIT, CCS, and/or CCS-P. Benefits - Omega is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. Company Description 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.

Role Description - Manages assignments and projects as assigned. - Participates in the daily operations and activities of the Clinical Documentation Improvement (CDI) program to continually enhance documentation. - Utilizes most current documentation tools available. - Regularly and effectively communicates with clinical staff. - Collaborates with coding in an effort to maintain coding and documentation quality and compliance. Ensures that coding process and guidelines meet State and Federal requirements and standards. - Works with the medical staff to continuously improve clinical documentation to facilitate accurate coding through the use of compliant physician queries, when appropriate. - Facilitates communication of various professionals to support organizational goals related to documentation integrity, compliance, quality and coding. - Assists in development and delivery of education for both clinical and non-clinical staff. - Meets performance standards by setting goals and objectives, prioritizing work, and using available resources efficiently and effectively. - Stays abreast of the latest developments, advancements, and trends in the field of documentation improvement and coding by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and maintaining certification or licensure. Integrates knowledge gained into current work practices. - Participates in the training of new employees as needed. - Ensures that work is completed accurately and according to schedule. Qualifications - Current registered nurse (RN) license with a Bachelor's Degree in Nursing plus 2 years of experience in acute care, health care administration or commensurate experience. - Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP) credential must be obtained within one year of hire. - Experience with ICD-10-CM/PCS coding and DRG assignment. - Outstanding oral, written and interpersonal skills. - Demonstrated knowledge and clinical experience relevant to clinical and regulatory aspects of care and reimbursement. Preferred Qualifications - CCDS or CDIP upon hire plus 2 years of clinical documentation improvement experience.

Role Description The Oncology Data Specialist is responsible for accurately reporting detailed information from the electronic medical record into the registry software system. Will ensure compliance with State, national and client specific data reporting. Performance of case finding, follow-up, cancer conferences/tumor board, and reporting may be other job duties. - Perform daily abstraction of cancer cases into the cancer registry database. - Responsible for running and resolving EDIT’s prior to submission of cases to the State Central Registry and NCDB. - Utilize CoC and State Cancer Registry data standards and coding instructions to determine all reportable cases. - Abstract cases completely, whenever possible. In cases where complete treatment data is not available, request this information from the managing physician. - Abstract cases within six months from the date of first contact. - Maintain a log to document the abstraction of all records as well as non-reportable cases. - Submit cases to the State Central Registry, if requested. - Process case finding, follow-up and other registry duties. - Maintain the suspense system, if required. - Enter follow-up and/or update information on patients who have been re-admitted to the hospital following the completion of an abstract. - Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. - Maintain a knowledge base of ICD-O, AJCC Cancer Staging Manual, Hematopoietic and Lymphoid Database and Manual, SEER Coding and Staging Manual, Collaborative Staging, SEER Multiple Primaries and Histology’s, SEER Rx Database and Facility Oncology Data Standards. Qualifications - Knowledge of cancer and its management, medical terminology, anatomy and physiology, biostatistics and epidemiology, cancer data abstracting, database record management, cancer program management, and cancer registry procedures. - Ability to prioritize and multi-task in a fast-paced, changing environment. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Maintain courteous and professional working relationships with employees at all levels of the organization. - Demonstrate excellent analytical, critical thinking and problem-solving skills. - Attention to detail, time management and excellent communication in written and spoken word. - Adherence with both client and Omega specific quality and productivity standards, and detail specific data abstraction. - Skill in operating a personal computer and utilizing a variety of software applications. - Knowledge of Joint Commission, abstracting compliance and HIPAA-HITECH standards affecting medical records and the impact on reimbursement and accreditation. Requirements - A minimum of three years of oncology data abstracting experience and have abstracted within the past year. - Oncology Data Specialist-Certified (ODS-C), required. - Registered Health Information Administrator (RHIA) or Registered Health Information Technologist (RHIT), preferred. 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. - 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. - Must occasionally lift or move up to 25 pounds. - Specific vision abilities required 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 Travel may be required dependent on the client’s needs. 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.

Role Description - Define and maintain the standard service delivery models for all BH sub-segments, ensuring they align with current market dynamics and payer trends. - Lead the functional design of BH outsourcing and consulting engagements, ensuring that proposed solutions are operationally viable and clinically compliant. - Act as the lead SME for strategic pitches and RFP responses, defining the value proposition and ROI models for prospective clients. - Develop and govern the "Master Playbook" for BH operations, including standardized clinical workflows, documentation requirements, and quality benchmarks. - Design functional standards for BH-specific revenue cycle challenges, including prior authorization protocols and reimbursement logic for multi-state mandates. - Establish the KPIs and clinical metrics used across the organization to monitor the "health" of behavioral health engagements. - Advise on and approve the functional requirements for BH platforms (EHR, Telehealth, AI-tools), ensuring technology enables rather than hinders clinical workflows. - Lead cross-functional initiatives to integrate virtual-first care models and patient engagement automation into existing delivery structures. - Lead "Train-the-Trainer" initiatives to scale BH expertise across delivery teams; serve as the final authority on complex regulatory questions (e.g., parity laws, HIPAA). - Curate and produce organizational white papers and presentations to establish the firm as a premier authority in the BH space. Qualifications - Strong analytical, critical thinking, and problem-solving capabilities. - Ability to collect, research, and synthesize complex and diverse information. - Excellent written, verbal and presentation skills. - Ability to build and maintain trust-based relationships with internal and external stakeholders. - Strong customer service orientation with a professional demeanor. - Demonstrated leadership and mentoring capabilities. - Able to prioritize and multi-task effectively in a complex, fast-paced environment. - Self-motivated with the ability to set goals, meet deadlines, and lead cross-functional initiatives. - Positive, adaptable, and able to support team decisions and organizational goals. Requirements - None. 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 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 up to 5%. Company Description 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.

Role Description - Oversee RCM and HIM functions to ensure all activities align with organizational policies, procedures, and client contract requirements. - Manage workloads and identify priorities to ensure all daily, weekly, and monthly revenue and cash production goals are achieved. - Analyze and monitor operational KPI metrics by client; proactively identify trends and implement corrective actions for performance variances. - Continually assess staff workflows and systems to streamline processes, improve performance, and create a cost-effective use of resources. - Implement operational improvements and collaborate with senior leadership to adjust processes for enhanced efficiency. - Establish and adjust staffing levels based on account volume and revenue to maintain optimal production levels. - Lead monthly and quarterly meetings with clients; serve as a Revenue Cycle subject matter expert (SME) to advise clients on industry best practices. - Serve as the primary point of contact for escalated operational issues, ensuring timely and effective resolution. - Oversee the compilation and review of comprehensive Revenue Cycle performance reports for internal and external stakeholders. - Direct management activity related to hiring, training, coaching, and performance appraisals for the RCM and HIM management teams. - Effectively manage and coordinate with global resources (offshore teams) to ensure seamless delivery. - Ensure all operations comply with Federal, State, and Local laws, including HIPAA and specific client audit requirements. Qualifications - Ability to prioritize and multi-task in a fast paced, changing environment. - Demonstrate strong organizational skills and be detail oriented. - Ability to self-motivate and self-direct. - Ability to achieve set goals and deadlines. - Demonstrate strong time management skills. - Demonstrate excellent leadership, mentoring, and interpersonal skills. - Demonstrate the ability to analyze and problem solve. - Demonstrate strong commitment to team environment. - Proficient handling difficult situations and human relations issues with professionalism and respect. - Ability to maintain professionalism when interacting with internal and external customers. Supervisory Responsibility - This role has direct supervisory responsibility for a management team which may include: Sr. Managers, Managers, Supervisors, and functional leads across Billing, Coding, and Insurance Follow-up. 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 - 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. - Must occasionally lift or move up to 25 pounds. - Specific vision abilities required 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 - Travel required; up to 20%. Other Duties - 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.

Pro Fee coder with recent and multiple years' experience coding in a children's hospital or extensive pediatric experience. This role will be for multi-specialty coding for both medicine and surgical cases in include office and hospital EM coding and procedures. 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 (Office & Hospital E/Ms and Professional Procedures) 1. Core Professional Fee Coding Knowledge - Advanced knowledge of ICD‑10‑CM, CPT®, and HCPCS Level II - Strong understanding of professional fee billing principles, including provider vs. facility services - Ability to correctly assign: - Primary and secondary diagnoses to support medical necessity - CPT/HCPCS codes for professional services - Appropriate modifiers to ensure accurate reimbursement - Knowledge of payer‑specific professional fee rules, including Medicaid, managed care, and commercial payers 2. Evaluation & Management (E/M) Coding – Office & Hospital - Proficiency in coding office‑based E/M services (new and established patient visits) - Strong experience coding hospital‑based E/M services, including: - Initial hospital care - Subsequent hospital care - Discharge day management - Observation E/M services - Emergency Department E/Ms (when applicable to pro fee workflows) - Thorough understanding of current E/M guidelines, including: - Medical Decision Making (MDM) - Time‑based coding - Ability to accurately distinguish between: - New vs. established patient status - Consults vs. non‑consult services (per payer rules) - Appropriate use of E/M‑related modifiers (e.g., ‑25, ‑24, ‑57) 3. Professional Procedure Coding Skills - Proficiency coding provider‑performed procedures, including: - Minor bedside and clinic procedures - Diagnostic and therapeutic procedures - Surgical procedures billed on a professional claim - Ability to interpret and code from: - Provider progress notes - Operative reports and procedure notes - Procedure addenda and attestations - Knowledge of global surgical package rules, including: - Global periods - Separately reportable E/M services - Post‑operative care and follow‑up services - Accurate application of procedural modifiers, such as: - ‑26 (Professional component) - ‑50, ‑51, ‑59 - ‑LT/‑RT - ‑76/‑77 - Understanding of assistant‑at‑surgery and co‑surgeon billing (when applicable) 4. Pediatric & Specialty‑Specific Expertise - Strong understanding of pediatric anatomy, physiology, and clinical presentation - Experience coding age‑specific diagnoses and procedures - Familiarity with pediatric subspecialties commonly billing professional fees, including: - Pediatric surgery - Cardiology - Orthopedics - Neurology and neurosurgery - Gastroenterology (including endoscopic procedures) - Oncology and hematology - Pulmonology and critical care - Knowledge of congenital and chronic pediatric conditions affecting E/M complexity and ongoing care 5. Clinical Documentation Review & Interpretation - Ability to review provider documentation for: - Visit level accuracy - Medical necessity - Procedure completeness - Skilled at identifying: - Underdocumented or overdocumented E/M elements - Missing or unclear procedural details - Ability to apply official coding guidelines when documentation supports only limited code selection 6. Provider Query & Education Collaboration - Experience querying providers when documentation is insufficient, unclear, or conflicting - Knowledge of AHIMA/ACDIS‑compliant professional fee query standards - Ability to communicate clearly and professionally with providers regarding: - E/M leveling - Procedural documentation requirements - Willingness to support provider education efforts related to professional coding accuracy 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.

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.

Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cardiology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST. Required Experience: NCCI/CCI edits and modifier indicators Medically Unlikely Edits (MUEs) Medical necessity denials Modifiers 59, XE, XS, XP, and XU Looking up NCDs and LCDs Cardiac Caths Interventions (PCI, stents, atherectomy, thrombectomy) Electrophysiology studies and ablations Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes) Structural heart procedures (TAVR/TMVR, Watchman) Experience with modifiers 51, 76 and 77 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.