Coding Specialist

10 Nationwide Children's Hospital; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

10 Nationwide Children's Hospital in Houston seeks a skilled medical coder to analyze medical records for billing accuracy. The role requires clear communication with physicians and payors to ensure compliance with coding guidelines and processes.

Ideal candidates should have at least two years of coding experience and preferred certifications like RHIT, RHIA, CPC, or CCS. The position will start on-site before potential remote work, emphasizing a compliance-focused approach to coding and billing processes.

Qualifications

• Two years of coding experience required.
• Three years of computer data processing experience required.
• Knowledge of coding guidelines and regulations.

Responsibilities

• Analyze medical records and assign appropriate codes.
• Review claims denials and appeals.
• Conduct billing and coding audits.

Skills

Medical coding

Billing accuracy

Compliance with guidelines

Data processing

Communication skills

Problem solving

Education

Education as per certification requirement

Job description

Overview

Schedule: M-F (Day Shift). On-site during probation period until cleared to work remote – employee must reside within Central Ohio area.

Job Summary

Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations.

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.

Education and Licensure

• Education Requirement: As required by listed licensure and/or certification requirement.
• Licensure Requirement: (not specified).

Certifications

• RHIT
• RHIA
• CPC
• CCS
• CCS-P
• COC

Experience

Two years of coding 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

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

Ability to multi-task within a demanding environment.

Disclaimer

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.

EEO Statement

EEO M/F/Disability/Vet