Coding Specialist-

Nationwide Children's Hospital•Columbus, OH

6d•Hybrid

About The Position

Overview: Schedule: Monday-Friday (Day Shift) Employee will work on-site during the probation period until they are cleared to work remote. Once remote, there is one office day per month. Job Description Summary: Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations. Job Description: Essential Functions: 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. Additional Physical Requirements performed but not listed above: Ability to multi-task within a demanding environment. "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet" The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose. Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission. We’re 15,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere. Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere. Nationwide Children’s Hospital. A Place to Be Proud.

Requirements

As required by listed licensure and/or certification requirement.
RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.
Two years ofcoding experience, required.
Three years computer experience in a data processing capacity, required.
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting

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.

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