Coder Inpatient
Omega Healthcare Management Services
- Boca Raton, Florida, United States
- Boca Raton, Florida, United States
About
Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals 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 external regulatory and accreditation requirements as well as state and federal regulations. Extracts pertinent data from the patient's health record and determine appropriate coding for reports and billing documents. Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. Tracks and documents productivity in specified systems and maintain productivity levels as defined by the client. Maintains a 95% quality rating. Performs duties in compliance with the Company's policies and procedures, including but not limited to those related to HIPAA and compliance.
Key Success Indicators/Attributes
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.
Qualifications Required: 3 years post certification experience, Optum CAC & Cerner Power Chart PREFERRED: MS4 & Invision (will train if not experienced) Required Skills
Facility Inpatient - APR/DRG Facility Inpatient - Cardiac Surgery Facility Inpatient - General Med/Surg Facility Inpatient - Neurology Facility Inpatient - OB/GYN Facility Inpatient - Orthopedics Facility Inpatient - Pediatric Facility Inpatient - Pulmonary Facility Inpatient - Spinal Surgery Facility Inpatient - Vascular Facility Setting - Acute Care Facility Setting - Teaching Hospital - Inpatient Facility Setting - Trauma Level 1 - Inpatient Facility Setting - Trauma Level 2 - Inpatient Systems - CAC Systems - Cerner Systems - Optum 360
Languages
- English
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