Coding Specialist

Nationwide Children's Hospital•Columbus, OH

8d•Hybrid

About The Position

Overview: Performs coding related appeals based on specialty assignment(s) for all payers. Access all payer portals and pull payer policies. Works closely with AR staff to resolve denials. Employee must be on-site for the first 90 days or so for training and probation before becoming fully remote. One day in office per month required afterwards. Employee must reside within Ohio. Schedule: M-F (Day Shift) 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. 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
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.

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