Coding Specialist, Pre-Service

The CORE Institute; Phoenix (AZ); On-site; USD 50,000 - 70,000; Full time

Job summary

The CORE Institute in Phoenix, Arizona, is seeking a skilled Medical Coder to ensure accurate coding based on patient records. Candidates should have a High School Diploma, AAPC/AHIMA certification, and 2-3 years of coding experience.

This role involves reviewing documentation, assigning medical codes, and collaborating with healthcare professionals to maintain accuracy and compliance. Attention to detail and effective communication skills are vital for success in this position.

Qualifications

• Coding Certification from AAPC/AHIMA/NHA (CPC, CCS-P, CBCS) is required.
• 2-3 years of experience in coding and medical terminology.
• Knowledge of medical terminology and coding guidelines.

Responsibilities

• Review patient records and extract necessary coding information.
• Assign appropriate ICD-10, CPT, and HCPCS codes.
• Verify correctness of assigned codes according to guidelines.

Skills

Attention to detail

Effective communication

Data management

Discrepancy resolution

Education

High School Diploma/GED

Tools

ICD-10 coding

CPT coding

HCPCS coding

Job description

• 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 inputing 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.

Equal Opportunity Employer
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