Coding Specialist Sr. Medical Records

Nationwide Children's Hospital • Columbus, OH

22h • Onsite

About The Position

Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations. This role involves analyzing medical records, utilizing coding books to assign codes for diagnoses, procedures, and other medical services or charges. The specialist will review claims denials and appeals, perform coding and billing corrections, and research new diagnoses and procedures for code assignments. Maintaining compliance with current coding guidelines and regulations is essential. This position requires communication with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy, and assisting customers and staff with billing and coding questions. Additionally, the role includes conducting billing and coding audits to ensure accuracy, identify missed opportunities, report results, and recommend quality improvements.

Requirements

• RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.
• Two years of coding experience, required.
• Three years computer experience in a data processing capacity, required.
• Ability to multi-task within a demanding environment.

Responsibilities

• Analyzes medical records and utilizes coding books to accurately assign codes for diagnoses, procedures, and other medical services or charges.
• Reviews claims denials and appeals to identify coding errors.
• Performs coding and billing corrections and charge reconciliations.
• Researches newly identified diagnoses and procedures for code assignments.
• Maintains compliance with current coding guidelines and regulations.
• Communicates with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy.
• Assists customers and staff with billing and coding questions.
• Conducts billing and coding audits to ensure accuracy and identify missed opportunities.
• Reports the results and recommends quality improvements.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed