Coding Specialist, Pre-Service

Healthcare Outcomes Performance Co. (HOPCo) • Phoenix, AZ

7d • Onsite

About The Position

This role is responsible for accurately coding patient records to ensure proper authorization and billing. The Coding Specialist will review medical documentation, assign appropriate codes, and communicate with healthcare professionals to resolve any discrepancies. Ensuring the security and confidentiality of patient information is paramount.

Requirements

• 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
• The ability to identify and resolve discrepancies in medical records or claims.
• Accuracy is critical in coding, requiring meticulous attention to detail.
• The ability to communicate effectively with physicians and other healthcare professionals.
• Efficiently inputting and managing coding data.
• Ability to be a resource for coding guidelines.
• Ability to communicate effectively verbally and in writing.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED