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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.
ATS Keywords
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Hard Skills
ICD-10 codingCPT codingHCPCS codingmedical terminologycoding guidelinesdiscrepancy resolutiondata managementattention to detailauthorization codingortho coding
Soft Skills
communicationinterpersonal skillsattention to detailproblem-solvingcollaboration
Certifications & Qualifications
AAPC Certified Professional Coder (CPC)AHIMA Certified Coding Specialist (CCS)NHA Certified Billing and Coding Specialist (CBCS)
Industry Keywords
HIPAA compliancepatient recordsdiagnosesprocedurestreatmentscoding discrepanciesauthorization managementclinical stakeholderssurgical schedulingmedical coding
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