Coder Outpatient
Omega Healthcare Management ServicesAbout the role
Scope:
Experienced outpatient infusion and injection coder that understands the hierarchy of infusions/injections, start time and stop times and modifiers. Experience with Epic and 3M 360 required. Schedule can be flexible within reason but needs to be available for a few hours during client's normal business hours for training. This is a short-term project for a cleanup project, exact duration TBD but could be just a couple weeks maybe longer.
Coding & Technical Expertise
- Strong knowledge of CPT, HCPCS Level II, and ICD-10-CM coding systems
- Advanced understanding of infusion, injection, hydration, and chemotherapy administration coding guidelines
- Proficiency in applying AMA CPT guidelines and hierarchy rules for:
- Initial, sequential, and concurrent infusions
- Push vs. infusion distinctions
- Hydration coding criteria
- Experience with drug administration coding including biologics, chemotherapy, and therapeutic/diagnostic injections
- Accurate assignment of modifiers (e.g., -25, -59, -76, -77) as appropriate
- Familiarity with National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUEs)
Outpatient / Facility Coding Knowledge
- Experience with hospital outpatient (OPPS) coding and reimbursement methodologies
- Understanding of revenue codes, charge capture, and UB-04 billing requirements
- Familiarity with CDM (Charge Description Master) structure and maintenance
- Ability to review and interpret nursing documentation, MAR (Medication Administration Record), and physician orders
Compliance & Regulatory Knowledge
- Strong working knowledge of:
- CMS outpatient coding guidelines
- OIG compliance standards
- Local and National Coverage Determinations (LCDs/NCDs)
- Ensures coding accuracy aligned with documentation and medical necessity requirements
- Identifies and escalates compliance risks, undercoding, and overcoding issues
Analytical & Problem-Solving Skills
- Ability to analyze complex infusion scenarios and determine correct coding hierarchy
- Strong attention to detail with focus on accuracy and audit readiness
- Capable of identifying documentation gaps and querying appropriately
- Skilled in performing coding edits resolution and denial analysis
Experience Requirements
- Typically 2–4+ years of outpatient/facility coding experience
- At least 1–2 years of infusion/injection coding experience preferred
- Experience in oncology or specialty infusion centers is a plus
- 3 + years of infusion and injection charge coding
- Epic experience
- 3M 360 experience
- Able to pick up new workflows and technology easily
- Maintain 95% accuracy in all coding
- 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
We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.
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, religi
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