Coding Specialist
Schedule
M-F (Day Shift)
On-site during probation period until cleared to work remote - employee must reside within Central Ohio area
Job Description
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.
- Affords assistance to 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 Requirement
As required by listed licensure and/or certification requirement.
Licensure Requirement
(not specified)
Certifications
RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.
Skills
(not specified)
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
FREQUENTLY: (none specified)
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.