Abstracts and codes pertinent medical data into multiple software programs and/or encoders.Follows ... Qualifications 2 years credentialed experience in coding both facility and profee charges. Epic ...
Abstracts and codes pertinent medical data into multiple software programs and/or encoders.Follows ... Qualifications 2 years credentialed experience in coding both facility and profee charges. Epic ...
Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on ... The Senior Professional Coder performs at an advanced level medical coding position and serves as ...
New
Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on ... The Senior Professional Coder performs at an advanced level medical coding position and serves as ...
New
$16.75 - $22.25/hr
Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on ... The Senior Professional Coder performs at an advanced level medical coding position and serves as ...
$16.75 - $22.25/hr
Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on ... The Senior Professional Coder performs at an advanced level medical coding position and serves as ...
Summary/Objective Under limited supervision the Coder Physician reviews medical records and ... profee. Preferred Education and Experience N/A Security Access Requirements In addition to the ...
Summary/Objective Under limited supervision the Coder Physician reviews medical records and ... profee. Preferred Education and Experience N/A Security Access Requirements In addition to the ...
Profee Coding Consultant - PRN
Frankfort, KY · On-site
$20 - $28/hr
Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). * Conduct data quality ...
Profee Coding Consultant - PRN
Frankfort, KY · On-site
$20 - $28/hr
Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). * Conduct data quality ...
Perform complex, concurrent and/or retrospective analysis of medical record documentation to Validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.
Perform complex, concurrent and/or retrospective analysis of medical record documentation to Validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.
Medical Coder Profee information
What is a Medical Coder Profee?
A Medical Coder Profee, short for professional fee coder, is a healthcare professional who specializes in translating physicians' and other providers' clinical documentation into standardized medical codes for billing and reimbursement purposes. They primarily work with professional services, such as those provided by doctors in outpatient settings, as opposed to facility services. Medical Coder Profee professionals ensure that the correct codes are used to reflect diagnoses, procedures, and services, which helps healthcare providers receive appropriate payment and comply with healthcare regulations.
What are the key skills and qualifications needed to thrive as a Medical Coder Profee?
To thrive as a Medical Coder Profee, you need a solid understanding of medical terminology, anatomy, and coding guidelines, typically demonstrated by certification such as CPC or CCS-P. Familiarity with coding software, electronic health records (EHRs), and regulatory coding systems like ICD-10-CM and CPT is crucial. Attention to detail, analytical thinking, and strong organizational skills are vital soft skills for accuracy and productivity. These skills and qualifications are essential to ensure precise coding, compliance, and optimal reimbursement for healthcare providers.
What are some common challenges Medical Coder Profee professionals face when coding for physician services?
Medical Coder Profee professionals often encounter challenges such as interpreting complex medical documentation, staying updated with frequent changes in coding guidelines (like CPT, ICD-10, and HCPCS), and accurately linking diagnoses with procedures for physician services. Additionally, they may need to resolve discrepancies between clinical notes and coding requirements or clarify documentation with providers to ensure compliant and optimal reimbursement. Effective communication skills and a detail-oriented approach are essential to overcoming these challenges and maintaining accuracy in coding assignments.
What is the difference between Medical Coder Profee vs Medical Coder Hospital?
| Aspect | Medical Coder Profee | Medical Coder Hospital |
|---|---|---|
| Work Environment | Outpatient clinics, physician offices | Hospital inpatient and outpatient departments |
| Certifications | Typically CPC, CCS, or similar | Same certifications as Profee, often with additional hospital coding credentials |
| Employer & Industry Usage | Physician practices, outpatient clinics | Hospitals, healthcare systems |
| Work Focus | outpatient procedures, physician billing | Inpatient and outpatient hospital coding |
Medical Coder Profee primarily works in outpatient settings like physician offices, focusing on outpatient procedures and billing. In contrast, Medical Coder Hospital works within hospital environments, handling inpatient and outpatient coding. Both roles require similar certifications, but their work environments and focus areas differ significantly.
Are medical coders still in demand?
Medical coders, including those in the Profee specialty, are in steady demand due to ongoing healthcare industry needs for accurate billing and coding. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are expected to grow with the expansion of healthcare services and electronic health records.
Which medical coder profee position pays the most?
Among medical coding roles, Profee (professional fee) coding positions often pay higher salaries compared to facility-based coding due to the specialized knowledge required for outpatient and physician billing. Senior coders with certifications like CPC or CCS and extensive experience tend to earn the highest wages in this field. Salary can also vary based on location, employer, and workload complexity.
Coder ER
On-site
Omega Healthcare Management Services Pvt. Ltd.
Other
Medical, Dental, Vision, Retirement, PTO
Posted 12 days ago
Key responsibilities
Abstract, code, sequence, and interpret clinical information from various medical records.
Assign correct principal and secondary diagnoses and procedures with accurate sequencing, utilizing coding principles and reimbursement expertise.
Enter codes into multiple software systems, review health records for compliance, and ensure accurate coding for reports and billing documents.
Job description
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 encoders.Follows 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 patient’s 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 Company’s 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.
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
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 job.Duties, responsibilities and activities may change at any time with or without notice. Employee may perform other duties as assigned.
Qualifications2 years credentialed experience in coding both facility and profee charges.
Epic experience required.
Ability to navigate Sharepoint as well as multiple teams and emails.
Required Skills- Facility Setting - Emergency Department
- Pro-Fee Setting - Emergency Department (Consults)
- System - Microsoft - Excel
- Systems - 3M
- Systems - Epic
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, visitwww.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 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 atemployeerelationsus@omegahms.com.