Coding Specialist, Pre-Service
Coding Specialist, Pre-Service
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
ESSENTIAL FUNCTIONS
- Reviewing patient records doctors 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 ICD10 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
- 23 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 CCSP CBCS)
KNOWLEDGE
- Knowledge of medical terminology
- Indepth 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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
