Coding Specialist – Pre-Service

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🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

B2B • SaaS

Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.

📋 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.

🎯 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 • 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

• 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