Facility Coding Specialist II

OhioHealth; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

OhioHealth is seeking a facility coder to perform outpatient coding and abstracting across multiple areas including Emergency Department, Diagnostics, Ambulatory Surgery and clinics. The role requires accurate ICD-9/ICD-10 and CPT coding, adherence to CMS guidelines, and documentation review to support appropriate charges.

AAPC/AHIMA credentials (RHIA/RHIT) and strong analytical skills are preferred. This position is office-based within the OhioHealth system and supports RAC audits as needed.

Qualifications

• High school diploma or GED required.
• AAPC or AHIMA certification (RHIA/RHIT) preferred.
• Knowledge of ICD-9, ICD-10 and CPT-4 classification systems.
• Strong analytical and critical-thinking skills; ability to resolve coding discrepancies.

Responsibilities

• Assigns appropriate admit, reason for visit, principal and secondary ICD-9/ICD-10 and CPT-4 diagnoses and/or procedures by reading documentation and applying coding guidelines.
• Reviews records for medical necessity according to CMS LCD/NCD guidelines; ensures correct E/M level and charges.
• Obtains physician clarification when documentation is inadequate or unclear for coding purposes.
• Abstracts data to complete UB-04 and supports RAC denials review.
• Verifies demographics, charges, service forms, and identifies missing/incorrect forms.
• Identifies DNFB issues and forwards to appropriate staff for follow-up.

Skills

Medical coding

ICD-10 / ICD-9 coding

CPT coding

Hospital coding

Education

High School Diploma or GED

AAPC / AHIMA certification (RHIA/RHIT)

Tools

HBOC system

GE Gentricity

Mosaic

Job description

OhioHealth is seeking a facility coder to perform outpatient coding and abstracting across multiple areas including Emergency Department, Diagnostics, Ambulatory Surgery and clinics. The role requires accurate ICD-9/ICD-10 and CPT coding, adherence to CMS guidelines, and documentation review to support appropriate charges.

AAPC/AHIMA credentials (RHIA/RHIT) and strong analytical skills are preferred. This position is office-based within the OhioHealth system and supports RAC audits as needed.