Coding & Reimbursement Documentation Specialist

10 Nationwide Children's Hospital; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Nationwide Children's Hospital in Houston seeks an experienced physician billing specialist to research and respond to coding, documentation, compliance, and reimbursement inquiries. You will provide education sessions to physicians and staff and help resolve billing discrepancies with insurers.

The role requires strong clinical data interpretation, collaboration with providers, and updating billing software to ensure accurate claims processing.

Qualifications

• Five years of physician billing experience preferred.
• One year of education or teaching-related experience required.

Responsibilities

• Research and respond to inquiries about coding, documentation, compliance, and reimbursement.
• Provide compliance and documentation education sessions to physicians and staff.
• Clarify ambiguous clinical data and give feedback to improve documentation.
• Resolve billing discrepancies and issues with insurance providers.
• Collaborate with healthcare providers to gather necessary documentation for claims.
• Update billing software with relevant patient and insurance information.

Skills

Billing compliance

CPT-4 coding

Medical terminology

Communication skills

Team collaboration

Analytical skills

Privacy & confidentiality

Education

Bachelor’s degree preferred

CCS-P certification

CPC certification

Job description

Nationwide Children's Hospital in Houston seeks an experienced physician billing specialist to research and respond to coding, documentation, compliance, and reimbursement inquiries. You will provide education sessions to physicians and staff and help resolve billing discrepancies with insurers.

The role requires strong clinical data interpretation, collaboration with providers, and updating billing software to ensure accurate claims processing.