Coding Specialist, Pre-Service

Healthcare Outcomes Performance Co. (HOPCo); Phoenix (AZ); On-site; USD 50,000 - 70,000; Full time

Job summary

Healthcare Outcomes Performance Co. (HOPCo) is seeking a skilled medical coder in Phoenix, Arizona. The successful candidate will be responsible for reviewing patient records and assigning accurate ICD-10, CPT, and HCPCS codes while ensuring compliance with coding guidelines. This role requires a High School Diploma, AAPC/AHIMA/NHA certification, and 2-3 years of relevant experience.

A strong attention to detail and excellent communication skills are essential. Join us to contribute to our mission of enhancing healthcare outcomes.

Qualifications

• Minimum of 2-3 years of experience in coding and medical terminology.
• Certified with maintained credentials from AAPC/AHIMA/NHA.
• Required knowledge of coding guidelines and regulations.

Responsibilities

• Review patient records and relevant documentation for coding.
• Assign appropriate ICD-10, CPT, and HCPCS codes.
• Verify correctness of assigned codes and identify discrepancies.

Skills

Attention to detail

Effective communication

Medical terminology knowledge

Data management

Education

High School Diploma/GED

Job description

Essential Functions

• 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.

Education

• High School Diploma/GED

Experience

• 2-3 years of experience in coding and medical terminology
• Ortho coding is required
• Must be AAPC/AHIMA/NHA Certified with maintained credentials

Requirements

• Coding Certification from AAPC/AHIMA/NHA (CPC, CCS-P, CBCS)

Knowledge

• Knowledge of medical terminology
• In-depth knowledge of coding guidelines and regulations

Skills

• 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.

Abilities

• Ability to be a resource for coding guidelines.
• Ability to communicate effectively verbally and in writing.

Environmental Working Conditions

• Normal office environment.

Physical/Mental Demands

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

Organizational Requirements

• HOPCo Mission, Vision, and Values must be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.