Omega Healthcare Management Services

Coder Outpatient

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

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
  1. 3 + years of infusion and injection charge coding
  2. Epic experience
  3. 3M 360 experience
  4. Able to pick up new workflows and technology easily
  5. Maintain 95% accuracy in all coding
  6. 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, 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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