Facility Coder II

🔥 2 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

Healthcare • 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

• Reviews, interprets, and abstracts clinical documentation from inpatient and outpatient hospital records • Assigns accurate diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS • Codes complex orthopedic surgical cases across spine, joint replacement, hand surgery, podiatry, and neurology-related musculoskeletal procedures • Applies DRG and/or APC assignment methodologies in compliance with federal and payer-specific regulations • Ensures coding accuracy and compliance with official coding guidelines, UHDDS definitions, CMS regulations, and applicable standards • Uses hospital EMR and coding systems to capture clinical and demographic data for billing and reporting • Collaborates with physicians and clinical staff to clarify documentation • Provides education and feedback on documentation improvement opportunities related to orthopedic surgical services • Meets or exceeds established productivity and quality benchmarks • Works independently in a remote or office-based environment

🎯 Requirements

• High school diploma or GED required • Associate degree in Health Information Management or related field preferred • Must hold at least one of the following credentials: RHIT, CCS, CIC, COC, COSC • Minimum of 3+ years of facility/hospital coding experience required • Demonstrated experience coding inpatient and outpatient hospital cases • Strong background in orthopedic surgical coding, including complex musculoskeletal procedures • Experience with DRG and/or APC assignment preferred • Prior remote coding experience preferred • Advanced knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems • Strong understanding of orthopedic anatomy, physiology, and surgical procedures • Proficiency with hospital coding software and electronic medical record systems • Ability to independently manage coding assignments with minimal supervision • Excellent attention to detail and commitment to coding accuracy and compliance • Comprehensive understanding of coding guidelines, including ICD-10-CM/PCS Official Guidelines, UHDDS, CMS regulations, and payer-specific requirements • Knowledge of DRG and APC reimbursement methodologies • Familiarity with government and commercial insurance policies • In-depth knowledge of musculoskeletal disease processes, surgical techniques, and related specialties • Strong analytical and critical thinking skills for complex case review • Effective communication skills when interacting with providers and interdisciplinary teams • Ability to educate clinical staff on documentation and coding best practices • Proficiency in computer systems, coding tools, and data entry • Ability to maintain strict patient confidentiality in compliance with HIPAA • Ability to manage multiple priorities while maintaining accuracy and productivity standards

🏖️ Benefits

• Remote work option • HIPAA-compliant work environment

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