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Coding Specialist – Pre-Service
Healthcare Outcomes Performance Co. (HOPCo)Coding Specialist handling patient records and coding for authorizations. Assigning medical codes and ensuring regulatory compliance for accurate documentation.
About the role
Key responsibilities & impact- Reviewing patient records, doctor's notes, and other relevant documentation to extract information about diagnoses, procedures, and treatments.
- Determine which diagnostic and procedural information is necessary for accurate coding of an authorization.
- Assign appropriate ICD-10, CPT, and HCPCS codes based on the information found in the medical records.
- Verifying the correctness of assigned codes, ensuring they align with coding guidelines and regulations, and identifying any discrepancies or errors.
- Communicating with physicians, clinical stakeholders and other teams such as surgical scheduling and authorization management to clarify any ambiguities in the documentation or coding.
- Ensuring the security and confidentiality of patient information as mandated by HIPAA.
Requirements
What you’ll need- High School Diploma/GED
- 2-3 years of experience in coding and medical terminology
- Ortho coding is required
- Must be AAPC/AHIMA/NHA Certified with maintained credentials
- Coding Certification from AAPC/AHIMA/NHA (CPC, CCS-P, CBCS)
- Knowledge of medical terminology
- In-depth knowledge of coding guidelines and regulations
- Ability to identify and resolve discrepancies in medical records or claims.
- Accuracy is critical in coding, requiring meticulous attention to detail.
- Ability to communicate effectively with physicians and other healthcare professionals.
- Efficiently inputting and managing coding data.
Benefits
Comp & perks- Normal office environment
- Requires sitting and standing associated with a normal office environment.
- Some bending and stretching are required.
- Manual dexterity using a calculator and computer keyboard
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 codingCPT codingHCPCS codingmedical terminologycoding guidelinesdiscrepancy resolutiondata managementattention to detailauthorization codingortho coding
Soft Skills
communicationinterpersonal skillsattention to detailproblem-solvingcollaboration
Certifications
AAPC Certified Professional Coder (CPC)AHIMA Certified Coding Specialist (CCS)NHA Certified Billing and Coding Specialist (CBCS)