Role Description
Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG. The Coder Inpatient 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 Inpatient will be charged with maintaining the confidentiality of patient records and procedures.
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Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
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Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.
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Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
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Abstracts and codes pertinent medical data into multiple software programs and/or encoders.
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Follows official coding guidelines to review and analyze health records.
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Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.
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Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents.
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Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
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Track and document productivity in specified systems, maintain productivity levels as defined by the client.
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Maintain 95% quality rating.
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Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
Qualifications
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Ability to prioritize and multi-task in a fast-paced, changing environment.
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Demonstrate ability to work in all work types and specialties.
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Demonstrate ability to self-motivate, set goals, and meet deadlines.
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Demonstrate leadership, mentoring, and interpersonal skills.
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Demonstrate excellent presentation, verbal and written communication skills.
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Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
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Maintain courteous and professional working relationships with employees at all levels of the organization.
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Demonstrate excellent analytical, critical thinking and problem solving skills.
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Skill in operating a personal computer and utilizing a variety of software applications.
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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.
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Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.
Requirements
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Successful completion of an AAPC or AHIMA-approved Coding Certificate Program.
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A minimum of two to four years of current production coding experience in both acute care and profee.
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Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
Benefits
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Health, dental, and vision coverage.
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Voluntary insurance options.
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401(k) plan with employer match.
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Professional development opportunities.
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Paid time off and holiday pay.
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Opportunity to participate in bonus programs, commissions, or other variable incentive plans.
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.
