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Coding Specialist, Pre-Service

Healthcare Outcomes Performance Co. (HOPCo)

Reviews patient records, physician notes, and related documentation to identify diagnoses, procedures, and treatments for authorization coding.

Assigns appropriate ICD-10, CPT, and HCPCS codes, verifies code accuracy, resolves discrepancies, and communicates with physicians and other clinical or administrative teams to clarify documentation.

Maintains HIPAA confidentiality and follows applicable coding guidelines and regulations in a normal office environment.

Requirements & Qualifications

Education

  • High School Diploma/GED

Experience

  • 2-3 years of experience in coding and medical terminology
  • Orthopedic coding experience required
  • Must maintain AAPC, AHIMA, or NHA certification

Certifications

  • AAPC/AHIMA/NHA certification such as CPC, CCS-P, or CBCS

Knowledge

  • Medical terminology
  • Coding guidelines and regulations

Skills and Abilities

  • Ability to identify and resolve discrepancies in medical records or claims
  • Strong attention to detail and accuracy
  • Effective verbal and written communication with physicians and healthcare professionals
  • Ability to input and manage coding data efficiently
  • Ability to serve as a resource for coding guidelines

Location

Phoenix, Arizona, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

2 months ago

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