Omega Healthcare Management Services

Coder Physician

Omega Healthcare Management Services  •  Boca Raton, FL (Onsite)  •  1 month ago
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Job Description

Scope

Pro fee coder with a minimum of 3 year’s experience coding radiology accounts. Epic experience required and Codify experience preferred. Schedule will be M-F preferably between 8am and 5 pm CST, be the start time can be flexible within reason. For the first week of training candidates would need to be available 8a-5p CST

Core Coding Expertise

Strong proficiency in CPT, HCPCS Level II, and ICD-10-CM coding specific to radiology professional fee services
In-depth knowledge of radiology modalities, including:

Diagnostic Radiology (X-ray, CT, MRI, Ultrasound, Nuclear Medicine)
Interventional Radiology (IR procedures, vascular studies, image-guided procedures)


Ability to accurately assign professional component (-26 modifier) and differentiate from technical components
Expertise in modifier usage (e.g., -26, -TC, -59, -76, -77, -91, -25 as applicable)

Documentation & Compliance

Strong understanding of physician documentation requirements for radiology interpretation and reporting
Ability to interpret radiology reports and assign codes based on findings, impressions, and procedures performed


Working knowledge of:

CMS guidelines
NCCI edits and Medically Unlikely Edits (MUEs)
Local Coverage Determinations (LCDs) / National Coverage Determinations (NCDs)

Ensures compliance with payer-specific and regulatory requirements

Specialized Radiology Knowledge

Familiarity with contrast vs. non-contrast studies and proper code selection
Understanding of bundling/unbundling rules specific to radiology services
Knowledge of fluoroscopy, supervision and interpretation (S&I) coding, and add-on codes
Ability to distinguish between screening vs. diagnostic studies

Analytical & Productivity Skills

Strong attention to detail and ability to work with high-volume radiology workloads
Ability to meet productivity and quality metrics in a fast-paced environment
Strong problem-solving skills to resolve coding discrepancies and edits

Communication & Collaboration

Ability to collaborate with radiologists, billing teams, and CDI/audit teams
Effective communication skills for querying providers when documentation is insufficient
Ability to clearly explain coding decisions to internal stakeholders or clients

  1. 3 + years' experience coding pro fee radiology
  2. Epic experience
  3. Prefer Codify experience
  4. Able to work M-F with the majority of the shift between 8a-5p CST
  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

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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