Coding Specialist
About The Position
Overview: Performs coding related appeals based on specialty assignment(s) for all payors. Access all payor portals and pull payor policies. Works closely with AR staff to resolve denials. This position is fully remote with one day in office per month. Corporate billing location Westerville. 40 hours/week, varied hours 6am-6pm no weekends. 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.
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.
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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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
