Coder Outpatient

Scope:

Outpatient coder with 2 + years' experience with ICD-10-CM diagnosis and CPT procedures for observations, same day surgery and ancillary encounters at a trauma level 1 facility.  Specialities include but limited to cardiology, cardiothoracic, neurosurgery, orthopaedics, pulmonology, ENT, GI and general surgery.  Must be experienced with checking CCI and medical necessity edits.  Epic and 3M 360 CAC experience required.  Production expectation is 5-15 CPH on average depending on the chart type.  Schedule can be flexible withing reason but must be available for training the first few days for a 2-3 hours' time block during client's regular business hours, 8am-4pm PST

Skills & Experience Required

• Coding Expertise
  • Minimum 2–5+ years of facility-based outpatient coding experience in an acute care setting
  • Proven experience coding observation services, same-day surgery (SDS), and ancillary encounters (e.g., ED, radiology, lab, infusion, therapies)
  • Strong proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems
  • Thorough understanding of APC assignments, OPPS reimbursement methodology, and charge capture practices
• Clinical Knowledge
  • Solid understanding of disease processes, surgical procedures, and diagnostic services relevant to outpatient hospital settings
  • Ability to interpret physician documentation, operative reports, and ancillary service records accurately
• Regulatory & Compliance Knowledge
  • In-depth knowledge of CMS guidelines, NCCI edits, LCD/NCD policies, and outpatient coding compliance standards
  • Familiarity with observation billing rules, including correct status assignment and time-based coding considerations
  • Experience working in a high-acuity environment, preferably within a Level 1 Trauma Center
• Critical Thinking & Problem Solving
  • Ability to analyze complex cases, including multi-visit same-day encounters and bundled services
  • Sound judgment in querying providers when documentation is incomplete or unclear
• Communication & Collaboration
  • Effective written and verbal communication skills for interaction with providers, CDI teams, auditors, and leadership
  • Ability to provide coding feedback and participate in education initiatives

 

1. 2+ years experience at a trauma level 1 facility
2. 2+ years experience coding observations, same day surgery and ancillary accounts
3. Epic and 3M 360 CAC experience
4. Able to work M-F with the majority of the shift between 8a and 4p PST
5. Able to pick up new workflows and technology easily
6. Able to ramp up productivity in 4 weeks
7. Maintain 95% accuracy in all coding
8. Good written and verbal communication
    

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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