Omega Healthcare Solutions
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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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
55 Jobs
AI Product Business Analyst
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description The AI Product Business Analyst will serve as the vital link between our clinical operations teams and our AI development team. This position will be responsible for creating complex medical coding requirements from subject matter experts and translating them into actionable user stories and functional specifications for our Agentic AI engine. The goal is to ensure that the “logic” the AI learns is perfectly aligned with industry standards and specific client needs. Essential Job Functions - Conduct workshops with Clinical SMEs and RCM experts to document specialty-specific coding rules and nuances. - Write detailed user stories, acceptance criteria, and functional requirements specifically for AI/ML features (e.g. The model must identify unbundled procedures in cardiology charts). - Translate high-level business goals into technical requirements that include data labeling instructions, expected model outputs, and edge-case handling. - Define and execute User Acceptance Testing (UAT) strategies to ensure the AI engine’s output meets the documented business requirements. - Manage and prioritize the product backlog, ensuring the AI development team always has a “definition of ready” for the next sprint. - Identify discrepancies between current manual coding workflows and the proposed AI-automated states, proposing logic-based solutions to bridge the gap. - Assist in mapping clinical data elements from various HER/EMR systems to the standardized inputs required by the auto-coding engine. Key Success Indicators/Attributes - The ability to capture clinical nuances so clearly that developers require minimal “back-and-forth” to begin model training. - A data-driven approach to evaluating model performance against initial business requirements. - The ability to walk a clinical coder through an AI workflow and turn their feedback into a technical improvement. - Comfort with “if-then-else” logic structures and how they translate into machine learning decision-making. Qualifications - Bachelor’s degree in business, computer science, health informatics, or a related field. - 5+ years as a business analyst, with at least 2 years focused on AI, machine learning, or advanced analytics products. - Exceptional skill in writing user stories within an Agile framework, specifically for complex logic-based systems. - Solid understanding of how AI models are trained and the difference between deterministic logic and probabilistic AI outputs. - Expert proficiency in Jira, Confluence, and wireframing/flowcharting tools (e.g. Lucidchart, Visio). Requirements - Experience in healthcare, RCM, or medical coding is highly preferred. - Ability to write basic SQL queries to analyze data sets for requirement validation. - CSPO (Certified Scrum Product Owner) or similar BA certifications. - Understanding of the prompts and “instructions” needed to guide Large Language Models. 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 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. 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.
Health Information Management Technician
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description Under limited supervision the HIM Tech identifies records reflecting separate encounters to the same individual and remediates duplicate records by linking encounters to the individual receiving health care services. The HIM Tech will be charged with maintaining the confidentiality of patient records. - MPI Cleanup - Scanning projects - HIM clerical duties - 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. - 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 HIPAA HITECH standards affecting medical records. Requirements - No supervisory responsibility. - This job operates in a remote home office environment. - This role routinely uses standard office equipment such as computers and phones. - While performing the duties of this job, 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. - 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%. - HIM Clerical experience required. Benefits - In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in the “Standard Field Employee” profile. - Access is based on client needs. Determined by manager and granted by Audit Implementation Manager. 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.
Insurance Follow-up Specialist
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
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 session 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 lead billing specialist, 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 Team Lead 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 key 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. - Understand client requirements and specifications of the project & Ensure targeted collections are met on a daily/monthly basis. - Meet the productivity targets of clients within the stipulated time. Ensure timely follow up on pending claims and to prepare and Maintain individual status reports. - Skill in operating a personal computer and utilizing a variety of software applications is essential. - 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 is an added advantage. - Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation is an added advantage. 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. - Minimum 1-2 years’ experience in Medical Billing/Coding and experience with standard office software products. - High School diploma or equivalent. Company Description
Internal Auditor
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description Under the supervision of the Manager, Compliance and Quality Audit, Omega Internal Auditor will perform reviews of inpatient and outpatient medical records for coding accuracy and medical record documentation as it impacts the accuracy of ICD-10-CM, ICD-10-PCS codes driving the MS-DRG/APR-DRG assignment and ICD-10 CM and CPT-4/HCPCS codes driving the APC assignment. The Auditor must also be able to identify coding trends, physician query opportunities, assess the accuracy of POA, discharge disposition and modifier assignments. Utilizing audit software tools or manual Excel templates to perform data collection for quality and statistical purposes for reporting and education to the Coder, Client, and Omega management. Essential Job Functions - Review inpatient and outpatient medical records for accuracy of coding and data quality. Elements to be included in reviews can include: - Inpatient Cases - All diagnosis and procedures assigned ICD-10-CM and ICD-10 PCS codes - Validation of MS-DRG/APR-DRG - APR, SOI, and ROM assignment - Query opportunities - Discharge disposition assigned - Assigned Present on Admission (POA) indicators - Outpatient Cases (ER, SDS, Observation, Ancillary) - All diagnosis and procedures assigned ICD-10-CM and ICD-10 PCS codes - All CPT assigned codes - APC assignment - Modifier use and assignment - E/M facility level codes (if required) - Infusions and injections (if required) - Maintain auditing productivity based on Client and Omega agreed upon requirements. - Complete Quality Review reports timely and submits to coder, Omega management (subsequently to Client) for review. - Utilize all available official coding references to perform reviews, to include but not limited to: - International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM and ICD-10-PCS) - Current Procedural Terminology (CPT-4) Official Coding Guidelines - Coding Clinic - CPT Assistant - CMS guidelines - Utilize client specific coding policies and guidelines in conjunction with Official Guidelines to perform reviews. - Communicate effectively with supporting staff and Omega point-of-contact(s). - Provide information regarding work progress, actions, and issues in a timely and effective manner. - Must be skilled in Microsoft Excel. - Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. Qualifications - Extensive knowledge of ICD-10-CM, ICD-10 PCS and CPT-4 coding and MS-DRG and APR-DRG assignment. - Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing in addition to those that are state-specific. - Knowledge of coding conventions and rules established by the 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. - Knowledge of documentation requirements to support coding and POA assignment is required. - Extensive knowledge of medical terminology, anatomy, and physiology. - Ability to prioritize and multi-task in a multifaceted environment. - Demonstrate strong organizational skills and detail oriented. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Demonstrate professional demeanor and strong 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. - Maintains courteous and professional working relationships with employees at all levels of the organization. - Demonstrate excellent analytical, critical thinking and problem-solving skills. - Ability to identify deficiencies and escalate. - Proficient personal computer skills and utilizing a variety of software applications. Requirements - Associate’s Degree or equivalent training acquired through on-the-job experience. - At least three years of HIM coding experience. - At least two years total audit experience with one year of current audit experience. - Minimum of successful completion of an AHIMA/AAPC approved Coding Certificate Program. - Must have intermediate level knowledge of Microsoft Office Suite. - Intermediate to advance technical knowledge of HIM electronic medical systems and software tools, such as Epic, Cerner, Allscripts, Optum 360, BOX, ReviewMate, etc. Specific system experience will vary based on client’s needs. Preferred Education and Experience - Five years of experience as a compliance auditor. Additional Eligibility Qualifications - CCS, CPC, CPC-P, CPC-H, RHIA or RHIT. Security Access Requirements - In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in the “Standard Field Employee” profile. - Microsoft Office - ADP - Oracle - Reviewmate - E1- All Field Employees - Standard Employee - Standard - Access is based on client needs. Determined by manager and granted by Audit Implementation Manager. 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.
Clinical Documentation Specialist
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
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.
AI Architect
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description The AI Architect is a senior technical leadership role responsible for defining the architecture, strategy, and enterprise adoption of Small Language Models (SLMs) and advanced Agentic AI solutions. This role provides end-to-end ownership of model design, optimization, and deployment – specifically focused on the Auto-Coding AI Engine. This position will bridge the gap between cutting-edge research and healthcare compliance, ensuring our engine delivers clinical-grade accuracy while mentoring teams and influencing AI strategy across the organization. - Define and own the enterprise architecture and standards for building solutions using Large Language Model (LLM) and/or Small Language Model (SLM), optimized for accuracy, latency, and cost. - Architect domain-specific models that translate complex clinical documentation into industry-standard medical codes (ICD-10, CPT). - Drive high-level decisions for model selection, fine-tuning, compression (quantization/distillation), and inference optimization. - Align all AI solutions with enterprise security, HIPAA compliance, and "Responsible AI" governance frameworks. - Lead the design and deployment of ML, DL, and Agentic AI solutions that utilize reasoning frameworks (e.g., Chain-of-Thought). - Apply deep mathematical and statistical knowledge to optimize model performance and ensure clinical-grade precision. - Provide architectural governance for traditional ML, deep learning (CNN, RNN, LSTM), and NLP-based systems. - Architect solutions involving embeddings, transformers, and large-scale language models. - Lead the fine-tuning of models for complex healthcare use cases and specialty-specific requirements. - Establish standards for prompt engineering, evaluation metrics, and real-time performance monitoring. - Architect and govern ML/AI solutions on AWS or Azure platforms. - Define and enforce CI/CD, model versioning, and lifecycle management to ensure production reliability. - Act as the expert in Python, scientific computing (TensorFlow, PyTorch), and optimized SQL designs for complex analytical data access. - Act as the technical mentor for Data Scientists and ML Engineers, fostering a culture of innovation and excellence. - Lead design reviews and collaborate with product, security, and clinical stakeholders to drive delivery discipline in an Agile environment. Qualifications - Proven ability to work and collaborate effectively within 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. - Maintain 99%+ correspondence accuracy for AI-generated medical codes. - Significant reduction in coding latency and cost through optimized SLM deployment. - Successful integration of the SLM roadmap across the Omega Digital Platform. - Strong budgeting skills with the ability to contain in high-performance compute environments. Supervisory Responsibility - No. 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.
External Auditor Physician
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description Pro fee coder with a minimum of 3 years’ experience auditing EM and procedures across multiple specialties in particularly radiology, neuro and ortho at a trauma 1 facility. Epic experience required and Codify experience preferred. Schedule will be M-F preferably between 8am and 5 pm CST, but the start time can be flexible within reason. For the first week of training, candidates would need to be available 8a-5p CST. Qualifications - Advanced proficiency in CPT, HCPCS Level II, and ICD-10-CM coding guidelines - Strong expertise in Evaluation & Management (E/M) coding (office, hospital, consults, ED, critical care) - Extensive experience auditing procedure-based coding across multiple specialties (e.g., cardiology, orthopedics, radiology, neurosurgery, general surgery) - In-depth knowledge of NCCI edits, MUEs, modifier usage, and bundling/unbundling rules - Ability to evaluate and validate medical necessity and accurate code assignment Requirements - Proven experience auditing professional fee coding across multiple specialties, such as: - Orthopedics - Cardiology - Radiology - Neurology/Neurosurgery - General Surgery - Internal Medicine / Hospitalist - Ability to quickly interpret specialty-specific documentation and apply appropriate coding rules - Strong knowledge of CMS guidelines, payer policies, and federal/state compliance requirements - Familiarity with OIG Work Plan, audit risk areas, and regulatory updates - Experience supporting internal and external audits, including payer audits and RAC reviews - Ability to identify coding trends, compliance risks, and revenue leakage - Experience conducting retrospective and concurrent coding audits - Ability to calculate and report accuracy rates, error categorization, and financial impact - Skilled in developing audit reports, scorecards, and executive summaries - Experience creating and delivering education and feedback to coders and providers - Strong focus on continuous quality improvement and audit calibration processes - Strong understanding of clinical documentation requirements to support both E/M and procedural services - Ability to identify documentation gaps and provide actionable recommendations - Working knowledge of medical terminology, anatomy, physiology, and disease processes across specialties - Ability to clearly communicate audit findings, rationale, and coding guidelines to stakeholders - Experience collaborating with providers, coding teams, CDI, and operational leadership - Strong presentation skills for delivering education sessions and audit results - Ability to mentor and guide coders to improve quality and compliance performance 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.
Trauma Data Lead
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description Knowledge of ACS trauma verification, review, and consultation program and its management, medical terminology, anatomy and physiology, National Trauma Database inclusion criteria, trauma data abstracting, database record management, trauma program management, and trauma data procedures. - Ability to prioritize and multi-task in a fast-paced, changing environment. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Demonstrate leadership, mentoring, and interpersonal skills. - Demonstrate excellent presentation, verbal, and written communication skills. - 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 NTDB, standard compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation. 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. Equal Employment Opportunity 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 .
Coder Outpatient
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description SDS coder with at least 2 years of experience in coding procedures for multi specialties such as: - General surgery - Orthopedic - Neurosurgery - GI - OB/GYN Experience with Cerner and 3M 360 CAC required. Schedule can be flexible within reason after training. For initial training, will need to be available between 8a and 4p Eastern Time for up to a week. This project is estimated to be 3-6 months. RESUME MUST REFLECT EXPERIENCE IN THE SPECIALTIES AND SYSTEMS LISTED IN THE REQ. Qualifications - At least 2 years of experience in coding procedures for multi specialties. - Experience with Cerner and 3M 360 CAC. Requirements - Availability for initial training between 8a and 4p Eastern Time for up to a week. - Resume must reflect experience in the specialties and systems listed. Benefits - Flexible schedule after training. 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.
Coder Physician
Omega Healthcare SolutionsFounded 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. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. 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 .
Role Description Fulltime ED Pro Fee coder with recent and multiple years' experience coding in a teaching hospital. This role will be for ED profee coding including ACEP EM coding and procedures. Should have experience in coding shared visits with at least two years Epic experience required. Schedule can be flexible after initial training. For initial training candidate must be available for the first week between 8a and 4p EST. - Proficiency coding ED EM levels using ACEP guidelines and any performed procedures, including: - Minor bedside and ED procedures - Diagnostic and therapeutic procedures - Surgical procedures billed on a professional claim - Ability to interpret and code from: - Provider ED notes - Procedure notes - Procedure addenda and attestations - Accurate application of procedural modifiers, such as: - ‑26 (Professional component) - ‑50, ‑51, ‑59 - ‑LT/‑RT - ‑76/‑77 - GC/FS - Understanding of shared-visit coding/billing (when applicable) Qualifications - Recent and multiple years' experience coding in a teaching hospital - At least two years Epic experience required Requirements - Availability for initial training during the first week between 8a and 4p EST 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
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