What are the responsibilities and job description for the Coder II - Remote position at Healthcare Outcomes Performance Co. (HOPCo)?
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 regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues.
- High school diploma/GED or equivalent working knowledge preferred.
- Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC).
- At least three years of 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.
- 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 is 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.
- 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.
- 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.
- Ability to maintain patient confidentiality.
- Ability to communicate with internal and external customers professionally.
- Ability to work independently.
- Normal office environment.
- Requires sitting and standing associated with a normal office environment.
- Some bending and stretching are required.
- Manual dexterity using a calculator and computer keyboard.
- HOPCo Mission, Vision, and Values must be read and signed.