Hybrid Documentation & Reimbursement Specialist

Nationwide Children's Hospital; North Carolina; On-site; USD 65,000 - 90,000; Full time

Job summary

Nationwide Children's Hospital in the United States is seeking a Medical Billing and Coding Specialist to investigate claim denials, perform root cause analysis, and respond to inquiries about documentation, coding, and professional services.

You will review charts, resolve billing discrepancies with insurers, and collaborate with physicians to gather necessary documentation, while maintaining patient confidentiality and compliance.

Qualifications

• Five years physician billing experience preferred.
• One year education or teaching related experience required.
• CCS-P or CPC certification required.

Responsibilities

• Research and respond to coding, documentation, compliance, and reimbursement inquiries.
• Provides education sessions to physicians and staff.
• Clarifies ambiguous clinical data and provide feedback for improved documentation.
• Resolves billing discrepancies and issues with insurance providers.
• Collaborates with healthcare providers to gather necessary documentation for claims.
• Updates billing software with relevant patient and insurance information.

Skills

Medical coding

Billing accuracy

Communication skills

Team collaboration

Analytical ability

Problem solving

Confidentiality

Education

Bachelor's Degree

Tools

Billing software

EMR systems

Job description

Nationwide Children's Hospital in the United States is seeking a Medical Billing and Coding Specialist to investigate claim denials, perform root cause analysis, and respond to inquiries about documentation, coding, and professional services.

You will review charts, resolve billing discrepancies with insurers, and collaborate with physicians to gather necessary documentation, while maintaining patient confidentiality and compliance.