Coding Specialist

Nationwide Children's Hospital • Columbus, OH

11d • Hybrid

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 accurately assign codes for diagnoses, procedures, and other medical services or charges. It also includes reviewing claims denials and appeals, performing coding and billing corrections, and researching new diagnoses and procedures. Maintaining compliance with current coding guidelines and regulations, communicating with physicians and payors, and assisting with billing and coding questions are key responsibilities. The role also entails conducting billing and coding audits and reporting findings to 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: Mid Level
• Education Level: No Education Listed