ESSENTIAL FUNCTIONS
- Abstracts data in compliance with national regional and local policies and interprets and reviews medical record
documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. - Utilizes practice management system (PMS) to accurately account for demographics and services performed for all
scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. - Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents
and demographics required for appropriate coding and billing for all hospital procedures. - Provides education and support to clinical areas in regard to appropriate documentation and coding of services to achieve
accurate billing. Maintains effective communication with providers in relation to coding issues.
EDUCATION
- High school diploma/GED or equivalent working knowledge preferred.
- Accredited by American Health Information Management Association (CCS-P) or the American Academy of Professional
Coders (CPC).
EXPERIENCE
- At least three years experience in provider coding and medical terminology with extensive knowledge of ICD-10 CPT and
HCPC coding required. - Preferred specialty experience in areas of Orthopedics Neurology Physical Medicine and Rehabilitation or Pain
Management.
REQUIREMENTS
- A minimum of one of the following credentials: CCS-P or CPC.
- Meets established coding and abstracting quality and productivity standards.
- Experience with various coding software. Previous experience with remote coding preferred. Possesses PC skills both
keyboarding and applications. - Requires a good understanding of anatomy physiology medical terminology and disease processes.
- Ability to work independently.
- Excellent attention to details.
KNOWLEDGE
- Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding
Guidelines Uniform Hospital Discharge Data Set CMS guidelines and other resources as applicable. - Knowledge of government and commercial insurance plans requirements.
- Understands and applies medical terminology anatomy physiology surgical technology pharmacology and disease
processes.
SKILLS
- Skill in customer service and an understanding of The HOPCo code of conduct and culture.
- Skill in communicating effectively with physicians clinical staff and the public.
- Skill in establishing good working relationships with both internal and external customers.
ABILITIES
- Ability to maintain patient confidentiality.
- Ability to communicate with internal and external customers in a professional manner.
- Ability to work independently
ENVIRONMENTAL WORKING CONDITIONS
- Normal office environment.
PHYSICAL/MENTAL DEMANDS
- Requires sitting and standing associated with a normal office environment.
- Some bending and stretching required.
- Manual dexterity using a calculator and computer keyboard.
Required Experience:
Manager