Coding Specialist, Pre-Service
Healthcare Outcomes Performance Co. (HOPCo)
ESSENTIAL FUNCTIONS
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve. Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
- 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.
- High School Diploma/GED
- 2-3 years of experience in coding and medical terminology
- Ortho coding is required
- Must be AAPC/AHIMA/NHA Certified with maintained credentials
- Coding Certification from AAPC/AHIMA/NHA (CPC, CCS-P, CBCS)
- Knowledge of medical terminology
- In-depth knowledge of coding guidelines and regulations
- 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.
- Ability to be a resource for coding guidelines.
- Ability to communicate effectively verbally and in writing.
- 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.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve. Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Coding Specialist, Pre-Service in United States vacancy
- ...Coding Specialist, Pre-Service Job Category: Corporate Requisition Number: CODIN012252 Posted: June 5, 2026 Full-Time Remote Phoenix, AZ 85023, USA Job Details Essential Functions Reviewing patient records, doctor's notes, and other relevant...SuggestedFull timeWork at officeRemote work
HOPCo | Healthcare Outcomes Performance Company
United States4 days ago - ...wellness and healing through compassionate service. We offer more than just a job - we... ...Page. Job Summary The Pre-Authorization Specialist is an essential role responsible for facilitating... ...including the facility, provider, CPT code, admission type, NPI, TIN and...SuggestedWork at officeLocal areaRemote workFlexible hoursShift workWeekend work
Augusta Health
Fishersville, VA5 days ago - ...Job Description Job Description Main Function: The Pre-Exposure Prophylaxid Specialist will provide direct patient service including screening, assessment, education, and treatment adherence for patients interested and receiving PrEP services. In addition, the PrEP...SuggestedWork at office
Arnot Health System
Elmira, NYa month ago - ...-business (B2B) software-as-a-service (SaaS) companies through acquisition... ...strong Integration Specialist to join our fast-growing team.... ...architecture and ensure adherence to coding standards Participate... ...and get a 4% match. Choose from pre-tax and Roth options. You're eligible...SuggestedLocal areaImmediate startRemote workFlexible hours
Cordance Corporation
United States5 days ago $21 - $25 per hour
...Pre-Authorization Specialist Job Category: Non-Clinical Requisition Number: PREAU005726 Posted:... ...Specialist | Englewood, CO Reports to Pre-Service Manager Employment Type: Full Time... ...EHR systems. ~ Knowledge of medical coding (CPT, ICD-10) related to radiology...SuggestedHourly payOngoing contractFull timePart timeReliefWork at officeRIA/Invision Sally Jobe
Englewood, CO5 days ago$31.95 - $39.95 per hour
...Certified Coding Specialist Fully Remote • MSO Corporate 1000 - Stamford, CT 06905 Overview... ...corrective actions Develop coding edits and pre-bill review processes for high-risk... ...for Evaluation and Management services ~ Experience with orthopedic or multi...Hourly payFull timeLocal areaRemote workShift workORTHOPAEDIC & NEUROSURGERY SPECIALISTS P.C.
United States3 days ago- ...Cardiology FRPS | Reports To: Director-Cardiac Services The mission of Faith Health is to... .... Summary: Perform clerical and pre-authorization functions for a physician... ...Detailed understanding of ICD-10 and CPT coding is important. 4. Communicates effectively...Full timeLocal areaFlexible hoursShift work
Faith Health Services Inc
Norfolk, NE2 days ago $28.72 - $36.92 per hour
...Authorization-Referrals Specialist III The 61st Street Service Corporation, provides administrative and clinical... ...for obtaining accurate and timely pre-authorizations for professional services... ..., diagnosis and procedure coding is preferred. Previous experience...Hourly payFull timeWork at officeLocal areaImmediate start61st Street Service Corp
New York, NY4 days ago- ...We are committed to bringing critical services to communities across the U.S. to... ...Day in the Life of a Verification and Pre-Authorization Specialist Verifying patients' benefits... ...Knowledge of HCPCS, CPT-4 and ICD9-10 coding and/or medical terminology. Familiar...Temporary workWork at officeRemote work3 days per week
Crossroads Treatment Center
Greenville, SC3 days ago - ...obtain, enter, and track all authorizations and pre-certs as required by the individual insurance company. The specialist will be familiar with and understand Medicare,... ...level degree preferred. Knowledge of CPT, ICD 10 coding and J Codes. Knowledge of insurance coverage's...Work at office
CharterCARE Health of Rhode Island
Providence, RI4 days ago - ...our team as high as 3,000+ associates and offers full-service engineering, construction, and maintenance solutions throughout... ...: ISC Estimating group is currently seeking a Pre-Construction Estimating Specialist to join the Corporate Pre-Construction group. The...Contract workApprenticeshipFor subcontractorWork at office
ISC Constructors
Baton Rouge, LA1 day ago - ...Revenue Integrity Specialist The Revenue Integrity Specialist supports revenue... ...in accurately documenting services performed, and using appropriate codes representing those services. Responsible... ...2. Responsible for working the pre-bill edits within key metrics, including...
St. Vincent's Health System
Birmingham, AL4 days ago - ...Florida by combining state of the art comprehensive cardiac services and care with innovative technology. We are seeking a PROCEDURE SCHEDULING AND PRE-CERT SPECIALIST. This position is located in Gainesville zip code 32605 . JOB TITLE: Pre-Certification Specialist...Work at office
The Cardiac & Vascular Institute
Gainesville, FL3 days ago - ...closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating... ...to be a part of our future team, please apply now! Pre-Certification Specialist General Summary: The Pre-Certification Specialist is...Contract workTemporary work
INSIGHT HEALTH SYSTEMS, INC.
Chicago, IL1 day ago - ...benefits and obtain prior authorization for scheduled medical services following payer specific guidelines. Exercises problem... ...and billers) to ensure accurate procedure and diagnosis codes are being utilized in the pre authorization process. 5. *Completes all requests for...Work experience placementWork at office
Bryan Health
Lincoln, NE4 days ago - ...Job Summary This position is primarily responsible for pre-certifying procedures and surgeries ordered by physicians. This position... ...experience as a medical front desk with durable expertise of coding. ~6 months related experience and/or training, or comparable blend...
- ...Medicare and Medicare HMO patients. Initiate pre-certification process for diagnostic... ...from providers to ensure that CPT and ICD-10 code is correct for procedure ordered and is... ...Methodist Hospital was chartered in 1891, service to our communities has been a top priority...Work at officeLocal area
- ...federal and state regulations. This position codes various (most) patient types of inpatient... ...-10-CM and ICD-10-PCS codes to inpatient services. Ensures compliance with third party,... ...completion of the Coder Proficiency Exam (pre-hire) Ability to comply with the...
- ...Pathology Associates ("MPA") prides itself on performing pathology services at the highest level of quality, reliability and service to... ...precision and ensure that patients receive the best possible care. The Pre-Analytic Associate performs pre-analytical and post-analytical...Work at officeDay shift
- Norton Healthcare in Louisville, Kentucky is seeking a Pre Service Representative to enhance patient experiences for surgical procedures and diagnostic tests. The role involves pre-registration, financial clearance operations, and customer service in a fast-paced call center...
- ...Wisconsin, Indiana, and Iowa Description The Coding Specialist II reflects the mission, vision, and... ...accurately reflects the patient’s service. This position trains physicians and other... ...information to physicians and staff. Resolves pre-accounts receivable edits. Identifies...Remote jobFull timeWork at officeLocal areaRelocation package
- ...health care. This status enables broader service availability, improved integration of mental... ...compliance with payer requirements and coding standards. Tracking and following up on... ...plan, up to 6% employer contributions, and pre‑tax/Roth available Access to Employee...Contract workLocal area
- A leading healthcare provider in Louisville, Kentucky, is seeking a Pre Service Representative to enhance patient experiences for surgical procedures and diagnostic tests. The ideal candidate will handle financial clearance efficiently and provide support through patient...
- ...neighbors and residents, to build a full-service community hospital in the Bronzeville... ...! Position Summary The Psychiatric Pre‑Certification Specialist is responsible for securing insurance... .... Utilizes psychiatric ICD‑10 codes and CPT codes appropriately. Maintains...Full timeTemporary workWork at officeImmediate startMonday to Friday
$16.38 - $23.14 per hour
...clinics, specialty practices and services for the community. Woman's Breast Specialist Clinic is looking for a full-time... ...Schedules appointments and tests; pre-certify all admissions, surgeries,... ...Responsible for CPT and ICD-10 coding for all procedures; works and corrects...Full timeWork experience placementLocal areaMonday to FridayWoman's Hospital
Baton Rouge, LA4 days ago- Atlantic-Medical-Imaging seeks a Lead Pre-Service / Pre-Certification Specialist to oversee the pre-authorization team in West Atlantic City, NJ. This full-time role involves managing daily operations, training staff, and ensuring the timely processing of pre-authorizations...Full time
$24.62 per hour
...increases are dependent on length of service, advancement in the position,... ...management software, coding invoices to appropriate cost... ...these requirements during the pre-employment process and as a condition... ...Information at: Fleet Parts Specialist Job Description [...Full time- ...remain at the forefront of the Energy-as-a-Service sector. We believe in growth-not just... ...The Associate Project Controls Specialist is responsible for utilizing existing Project... ...commitments to ensure adherence to the project coding structure, thereby allowing for proper...Work at office
ENFRA LLC
Charlotte, NC5 days ago - ...products that meet our customer's standards and help protect our U.S. service members. We rely on people like you to help make it possible.... ...) Skills Preferred : • Knowledge of excel systems coding and macros is a plus. • Experience of Manufacturing processes....Temporary work
Acro Service Corporation
York, PA2 days ago - ...Job Description Job Description JOB SUMMARY: Reviews all encounters in CPS Charge review for correct CPT level of service, ICD-10CM coding, and documentation requirements. Ability to identify coding trends, and provide feedback to CDI Team and providers. EDUCATIONAL...Work at office
Orthopaedic Specialty Group
Shelton, CT3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Coding Specialist, Pre-Service. Be the first to apply!
Related searches
- disability inclusion specialist United States
- senior program specialist United States
- order processing specialist United States
- correspondence specialist United States
- instructional systems specialist United States
- student specialist United States
- aircraft records specialist United States
- associate specialist United States
- ammunition specialist United States
- youth engagement specialist United States