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. Epic 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 Professional Procedures) 1. Core Professional Fee Coding Knowledge Advanced knowledge of ICD‑10‑CM, CPT®, and HCPCS Level II Strong understanding of professional fee billing principles, including provider vs. facility services Ability to correctly assign:Primary and secondary diagnoses to support medical necessity CPT/HCPCS codes for professional services Appropriate modifiers to ensure accurate reimbursement Knowledge of payer‑specific professional 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 visits) 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. Professional Procedure Coding Skills Proficiency coding provider‑performed procedures, including:Minor bedside and clinic procedures Diagnostic and therapeutic procedures Surgical procedures billed on a professional claim Ability to interpret and code from:Provider reputed company notes Operative reports and procedure notes Procedure addenda and attestations Knowledge of global surgical package rules, including:Global periods Separately reportable E/M services Post‑operative care and follow‑up services Accurate application of procedural modifiers, such as:‑26 (Professional 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 professional 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 elements Missing or unclear procedural details Ability to apply official coding guidelines reputed company documentation supports only limited code selection 6. Provider Query & Education Collaboration Experience querying providers reputed company documentation is insufficient, unclear, or conflicting Knowledge of reputed company/ACDIS‑compliant professional 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 professional 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 scale. The 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 United States, 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 regard to their race, reputed company, religion, national reputed company, gender, age, sexual orientation, gender identity or expression, 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 [email protected]. 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