Overview:
Schedule: M-F 40 (day shift) no weekends.
Onsite 30 days and then fully remote with mandatory 1 office day per month.
Job Description Summary:
Job Description:
- 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.
Education Requirement:
As required by listed licensure and/or certification requirement.
Licensure Requirement:
(not specified)
Certifications:
RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.
Skills:
(not specified)
Experience:
- Two years ofcoding experience, required.
- Three years computer experience in a data processing capacity, required.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
FREQUENTLY: (none specified)
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
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"
Skills Required
- RHIT, RHIA, CPC, CCS, CCS-P, or COC certification
- Two years of coding experience
- Three years of computer experience in a data processing capacity
What We Do
Nationwide Children's Hospital is one of America's largest not-for-profit free-standing pediatric health care systems, providing expertise in pediatric population health, behavioral health, genomics, and health equity. It has integrated clinical and research programs and serves over 1.9 million patient visits annually.
