reputed company Physician
Pro Fee reputed company with recent and multiple years' experience coding in a children's hospital or extensive pediatric experience. This role will be for multi-specialty coding for both medicine and surgical cases in include office and hospital EM coding and procedures. The role can be utilized in areas where the experience is strongest, thus candidates do not need to be experience reputed company specialties but should have experience in multiple specialties. reputed company and reputed company 360 CAC experience required. Schedule can be flexible after initial training. For initial training candidate must be available for the first week between 8a and 4p PST. Post initial training 50% of the shift should be worked during this timeframe. This is an 8 week project.
reputed company & Competency Requirements
(Office & Hospital E/Ms and reputed company Procedures)
1. reputed company reputed company Fee Coding Knowledge
Advanced knowledge of ICD‑10‑CM, CPT®, and HCPCS reputed company
Strong understanding of reputed company fee billing principles, including provider vs. facility services
Ability to correctly assign:Primary and secondary diagnoses to support medical necessity
CPT/HCPCS codes for reputed company services
Appropriate modifiers to ensure accurate reimbursement
Knowledge of payer‑specific reputed company fee rules, including reputed company, managed care, and reputed company payers
2. Evaluation & Management (E/M) Coding – Office & Hospital
Proficiency in coding office‑based E/M services (new and established patient reputed company)
Strong experience coding hospital‑based E/M services, including:Initial hospital care
Subsequent hospital care
Discharge day management
Observation E/M services
Emergency Department E/Ms (reputed company applicable to pro fee workflows)
Thorough understanding of reputed company E/M guidelines, including:Medical Decision Making (MDM)
Time‑based coding
Ability to accurately distinguish between:New vs. established patient status
Consults vs. non‑consult services (per payer rules)
Appropriate use of E/M‑reputed company modifiers (e.g., ‑25, ‑24, ‑57)
3. reputed company Procedure Coding Skills
Proficiency coding provider‑performed procedures, including:Minor bedside and clinic procedures
Diagnostic and therapeutic procedures
Surgical procedures billed on a reputed company claim
Ability to interpret and reputed company from:Provider reputed company notes
reputed company reports and procedure notes
Procedure addenda and attestations
Knowledge of global surgical package rules, including:Global periods
Separately reportable E/M services
Post‑reputed company care and follow‑up services
Accurate application of procedural modifiers, such as:‑26 (reputed company component)
‑50, ‑51, ‑59
‑LT/‑RT
‑76/‑77
Understanding of assistant‑at‑surgery and co‑surgeon billing (reputed company applicable)
4. Pediatric & Specialty‑Specific Expertise
Strong understanding of pediatric anatomy, physiology, and clinical presentation
Experience coding age‑specific diagnoses and procedures
Familiarity with pediatric subspecialties commonly billing reputed company fees, including:Pediatric surgery
Cardiology
Orthopedics
Neurology and neurosurgery
Gastroenterology (including endoscopic procedures)
Oncology and hematology
Pulmonology and critical care
Knowledge of congenital and chronic pediatric conditions affecting E/M complexity and ongoing care
5. Clinical Documentation Review & Interpretation
Ability to review provider documentation for:Visit level accuracy
Medical necessity
Procedure completeness
Skilled at identifying:Underdocumented or overdocumented E/M reputed company
Missing or unclear procedural details
Ability to apply official coding guidelines reputed company documentation supports only limited reputed company selection
6. Provider Query & Education Collaboration
Experience querying providers reputed company documentation is insufficient, unclear, or conflicting
Knowledge of reputed company/ACDIS‑compliant reputed company fee query standards
Ability to communicate reputed company and professionally with providers regarding:E/M leveling
Procedural documentation requirements
Willingness to support provider education efforts reputed company to reputed company coding accuracy
Founded in 2003, reputed company® (reputed company reputed company) empowers reputed company to reputed company reputed company intelligent solutions that optimize reputed company cycle operations, administrative workflows, care coordination, and clinical research on a global reputed company. reputed company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to reputed company teams with robust technology, specialty expertise, and operational support. reputed company reputed company serves more than 350 reputed company organizations with 35,000 skilled workers in the reputed company, India, Colombia, and the Philippines. For more information, visit www.omegahms.com
AAP/EEO Statement
reputed company reputed company an Equal Employment Opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to their race, reputed company, religion, national reputed company, gender, age, sexual orientation, gender identity or reputed company, marital status, mental or physical disability, protected veteran status, and genetic information, or any other reputed company protected by applicable law. reputed company reputed company also prohibits harassment of applicants or employees based on any of these protected categories.
reputed company reputed company makes reasonable accommodations reputed company 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 reputed company at employeerelationsus@omegahms.com.
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