Coding Specialist, Pre-Service

• Essential functions
• Reviewing patient records, doctor's 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 ICD-10, 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
• 2-3 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, CCS-P, CBCS)

• Knowledge
• Knowledge of medical terminology
• In-depth 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.