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.
EDUCATION
· 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)
EXPERIENCE
· 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.
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 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 detai
Healthcare Outcomes Performance Company (HOPCo) is the leading provider of musculoskeletal value-based health outcomes management, service line management and practice management. This includes comprehensive management and optimization of specialties such as orthopedics, spine, hand, pain management, rehabilitation and neurology.
HOPCO’s integrated care and analytics platform has proven to increase the quality of patient care and program revenue while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike.
HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, capitated population health programs, and other risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics, and standardized care pathways. This helps our partners obtain real time, actionable insights into their systems, allowing them to comprehensively manage the entire business while improving outcomes for their treasured patients.
As a result, HOPCo has become the only organization with proven and sustainable success in population health management of musculoskeletal specialty care.
