Omega Healthcare Management Services

Coder Outpatient

Omega Healthcare Management Services  •  Boca Raton, FL (Onsite)  •  2 months ago
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Job Description

Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures.Must be experienced with edits and denials.Experience with bariatric cases a plus.Cerner experience is a plus.The project will be working denials and edits primarily in cardiology with some bariatric as well.This is short term project estimated to be 3 months.This is open to fulltime or parttime candidates.The preferred schedule is M-F with hours worked between 7a-5p CST.

Required Experience:

NCCI/CCI edits and modifier indicators

Medically Unlikely Edits (MUEs)

Medical necessity denials

Modifiers 59, XE, XS, XP, and XU

Looking up NCDs and LCDs

Cardiac Caths

Interventions (PCI, stents, atherectomy, thrombectomy)

Electrophysiology studies and ablations

Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes)

Structural heart procedures (TAVR/TMVR, Watchman)

Experience with modifiers 51, 76 and 77

  1. 2 + years' experience in cardiology surgery
  2. 2+ years' experience with edit and denials
  3. Bariatric experience is a plus
  4. Cerner experience preferred
  5. Able to work hours M-F between 7a-5p CST preferred
  6. Able to pick up new workflows and technology easily
  7. Able to ramp up productivity in 4 weeks
  8. Maintain 95% accuracy in all coding
  9. 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

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 Healthcare also 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 employeerelationsus@omegahms.com

Omega Healthcare Management Services

About Omega Healthcare Management Services

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 350+ healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

End-to-End Revenue Cycle Management Solutions:

Patient Access

- Scheduling & Registration

- Insurance Eligibility & Benefits Verification

- Prior Authorization

Mid-Revenue Cycle

- Medical Records Coding

- Charge Capture

- Chart Audit

- Chart Audits

- Clinical Documentation Improvement

- HCC Coding Review

Business Office

- Claims Management & Billing

- Payment Posting & Reconciliation

- A/R Management & Collections

- Denials & Appeals Management

- Underpayment Analysis & Recovery

- Data Analytics Platform (WhiteSpace Analytics)

Full Business Office

Care Coordination

- Remote Patient Monitoring

- Telephone/Message Nurse Triage

- Customer Contact Center

Health Data Curation

- Clinical Trial Data Solutions

- Real-World Data Curation

- AI/ML Model Validation and Enablement

- Registry Data Management

Payer Operations

- Risk Adjustment Documentation & Coding Review

- HEDIS Chart Abstraction

- Care Coordination

- Provider & Member Communication

- Utilization Management

- Claims Administration

- Member Management

- Provider Data & Network Management

Pharma:

Access

- Member Enrollment

- Benefit Verification

- Prior Authorizations

Affordability

- Patient Co-pay Assistance

Adherence

- Care Coordination

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Boca Raton, Florida
Year Founded
2003
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