HCC Coder

Summary/Objective
Under limited supervision the Coder HCC reviews medical records and performs coding on all diagnoses procedures DRG/APC and charge codes. The Coder HCC 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 patients treatment. The Coder HCC will be charged with maintaining the confidentiality of patient records and procedures.

Essential Job Functions

• Responsible for abstracting coding sequencing and interpreting the clinical information from inpatient outpatient emergency department pro fee and clinical medical records.
• Responsible for the assignment of 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 official coding guidelines to review and analyze health records.
• Maintains compliance with both external regulatory and accreditation requirements and with State and Federal regulations.
• Extracts pertinent data from the patients health record and determines appropriate coding for reports and billing documents.
• Identifies codes for reporting medical services procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
• Track and document productivity in specified systems maintain productivity levels as defined by the client.
• Maintain 95% quality rating
• Perform duties in compliance with Companys 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.

Supervisory Responsibility

No

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment suchas 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 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.

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 5%

Required Education and Experience

Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee.

Preferred Education and Experience

N/A

Additional Eligibility Qualifications

Must have the following certificates and/or licenses: CPC COC CIC RHIA RHIT CCS and/or CCS-P.

Security Access Requirements

In addition to the specific security access required by the employees client engagement the employee will have access to the Omega systems set forth in the Standard Field Employee profile.

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 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 Healthcarealso 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.

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 responsibilities and activities may change at any time with or without notice. Employee may perform other duties as assigned.