Coding Rep II (JR223827)

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Join Cincinnati Children’s, a leading pediatric healthcare system consistently ranked among the top children’s hospitals in the nation.

About the Role

As a Coding Rep II, you will play a critical role in ensuring accurate and timely medical coding for patient records. This position supports clinical and financial operations by applying appropriate coding guidelines, reviewing documentation, and collaborating with healthcare providers to optimize coding accuracy and compliance.

Responsibilities

• Review and assign accurate medical codes (ICD-10-CM, CPT, HCPCS) for inpatient and outpatient encounters based on clinical documentation.
• Ensure compliance with federal, state, and payer-specific coding regulations, including CMS and AMA guidelines.
• Identify discrepancies or gaps in documentation and query providers for clarification to support complete and precise coding.
• Audit coded data for accuracy, completeness, and consistency, escalating complex issues to leadership as needed.
• Collaborate with clinical teams, billing departments, and revenue cycle staff to resolve coding-related denials or edits.
• Maintain productivity and quality standards in a high-volume coding environment.
• Participate in ongoing education and training to stay current with coding updates, regulatory changes, and best practices.
• Utilize electronic health record (EHR) and coding software systems to perform daily tasks efficiently.

Requirements

• High school diploma or equivalent; associate’s or bachelor’s degree in Health Information Management, Medical Coding, or related field preferred.
• Minimum of 1–2 years of professional medical coding experience in a hospital, clinic, or healthcare setting.
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems; experience with pediatric coding a plus.
• Strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Familiarity with EHR systems (e.g., Epic, Cerner) and encoder software (e.g., 3M, Optum).
• Excellent attention to detail, analytical skills, and ability to work independently in a fast-paced environment.
• Commitment to maintaining confidentiality and adhering to HIPAA and other regulatory standards.

Benefits

• Comprehensive health, dental, and vision insurance with employer contributions.
• Retirement savings plan with 403(b) matching.
• Paid time off (PTO), holidays, and sick leave.
• Tuition reimbursement and professional development opportunities.
• Employee wellness programs, including fitness discounts and mental health resources.
• On-site childcare and lactation support.
• Employee assistance program (EAP) for personal and family support.

Cincinnati Children’s is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, or protected veteran status.