Inpatient Surgical Coder – PRN

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏱ Part 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

• Reviews and abstracts clinical documentation from complex inpatient orthopedic and spine surgery records to assign accurate ICD-10-CM, ICD-10-PCS, DRG, POA, and discharge disposition codes. • Independently codes high-acuity inpatient orthopedic spine surgery cases including cervical, thoracic, and lumbar procedures, revisions, fusions, instrumentation, and neurological-related musculoskeletal procedures. • Provides real-time feedback and training for coding staff to improve coding quality and productivity. • Applies and validates accurate MS-DRG assignments while ensuring compliance with CMS, UHDDS, Official Coding Guidelines, and payer-specific requirements. • Identifies coding trends, documentation gaps, and reimbursement risks and communicates findings to leadership. • Maintains productivity and quality standards while managing high-volume and high-complexity inpatient workloads. • Serves as a coding resource and mentor to less experienced coders and assists with onboarding and education initiatives. • Participates in policy development, coding guideline interpretation, and implementation of regulatory updates. • Acts as a liaison between coding staff, leadership, and external stakeholders. • Supports coding audits, denials management, appeals, and quality improvement activities as assigned.

🎯 Requirements

• High school diploma or GED required • Associate or Bachelor’s degree in Health Information Management or related field preferred • Must hold at least one of the following: RHIA, RHIT, CCS, or CIC. CCS strongly preferred • Minimum of 4-5 years of IP facility/hospital coding experience required • Minimum of 4-5 years of recent/current experience coding complex inpatient surgical cases required • Extensive experience with inpatient coding (ICD-10-PCS and DRG assignment) required • Demonstrated expertise in orthopedic surgical coding across multiple subspecialties • Prior experience in auditing, mentoring, or leading coding teams strongly preferred • Experience with denial management, appeals, and payer audits preferred • Advanced to expert level knowledge of ICD-10-CM, ICD-10-PCS, DRG, CPT and HCPCS coding systems • Advanced understanding of DRG and APC reimbursement methodologies, ortho anatomy and spine surgical techniques. • Proven ability to interpret and apply complex coding guidelines and regulatory updates • Strong leadership skills with the ability to mentor and develop coding staff. • Prominent level of accuracy, critical thinking, and attention to detail. • Proficiency with coding software, EMR systems, and reporting tools.

🏖️ Benefits

• Health insurance • Paid time off • Professional development opportunities