Medical Coding Specialist - Remote After Probation

Nationwide Children's Hospital Inc; Columbus, Northern (OH, KY); Hybrid; USD 56,000 - 72,000; Full time

Job summary

Nationwide Children’s Hospital is seeking a Coding Specialist to analyze medical records, assign diagnoses and procedure codes, and ensure compliant coding for billing and statistics. The role involves reviewing denials, correcting charges, and communicating with physicians and payors to ensure accurate reimbursement.

The ideal candidate has two years of coding experience, three years of data-processing computer experience, and relevant certifications (RHIT/RHIA/CPC/CCS/CCP).

Qualifications

• Two years of coding experience, required.
• Three years computer experience in a data processing capacity, required.
• Education Requirement: As required by listed licensure and/or certification requirement.
• Certifications: RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.

Responsibilities

• 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.

Job description

Nationwide Children’s Hospital is seeking a Coding Specialist to analyze medical records, assign diagnoses and procedure codes, and ensure compliant coding for billing and statistics. The role involves reviewing denials, correcting charges, and communicating with physicians and payors to ensure accurate reimbursement.

The ideal candidate has two years of coding experience, three years of data-processing computer experience, and relevant certifications (RHIT/RHIA/CPC/CCS/CCP).