Omega Healthcare Management Services

Coder Physician

Omega Healthcare Management Services  •  Boca Raton, FL (Onsite)  •  8 days ago
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Job Description

Pediatric Professional Medical Coder

We are seeking an experienced Pediatric Professional Medical Coder to join our team. The ideal candidate will have strong knowledge of pediatric professional fee coding, E/M leveling, and coding guidelines, along with experience utilizing Epic. This role is responsible for reviewing provider documentation, assigning accurate ICD-10-CM, CPT, and HCPCS codes, and ensuring compliance with federal regulations, payer requirements, and organizational policies.

Responsibilities

  • Review and code pediatric professional fee encounters.
  • Assign accurate ICD-10-CM, CPT, HCPCS, and modifier usage based on provider documentation
  • Perform E/M leveling in accordance with current AMA and CMS guidelines
  • Utilize Epic for coding workflow and charge review
  • Ensure coding accuracy, productivity, and compliance standards are consistently met
  • Review documentation for medical necessity and appropriate code assignment
  • Identify and communicate documentation opportunities or coding discrepancies to providers and leadership
  • Maintain current knowledge of coding updates, payer guidelines, and regulatory changes

Schedule & Work Environment

  • Full-time position
  • Remote Position
  • Monday–Friday Daytime Schedule

Skills

  • Strong understanding of pediatric terminology, anatomy, and disease processes
  • Ability to work independently and manage productivity expectations
  • Strong organizational and time management skills
  • Proficiency in Microsoft Office and coding software systems
  • Ability to adapt to workflow and system changes in a fast-paced environment

Equal Employment Opportunity:

  • 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

  • Minimum of 2 years of credentialed professional coding experience required
  • Minimum of 2 years Epic experience
  • Experience navigating SharePoint and utilizing multiple emails and forms of communication a plus
  • Pediatric coding experience required
  • Strong understanding of ICD-10-CM, CPT, HCPCS, and modifier assignment
  • Knowledge of AMA, CMS, and payer-specific guidelines
  • Ability to maintain productivity and quality expectations in a remote environment
  • Strong attention to detail and critical thinking skills
  • Excellent written and verbal communication skills

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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