Company
CodingSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Coding Specialist. Skills: Medical records analysis, Coding, Billing. Analyze medical records. Assign codes for diagnoses”
What You'll Achieve.
Ensures accuracy and compliance; Ensure billing and reimbursement accuracy; Ensure accuracy and identify missed opportunities
Industry & Context.
Problem solving; Decision Making; Interpreting Data
On-site during probation period, Must reside within Central Ohio area, Ability to multi-task within a demanding environment, Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking, Audible speech, Color vision, Computer skills, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Peripheral vision, Repetitive hand/arm use, Seeing – Far/near, Sitting
What They're Looking For.
Must Have
Two years of coding experience, required, Three years computer experience in a data processing capacity, required, RHIT, RHIA, CPC, CCS, CCS-P, or COC, required
What You'll Do.
Analyze medical records
Assign codes for diagnoses
Assign codes for procedures
Assign codes for medical services
Assign codes for charges
Review claims denials
Review claims appeals
Identify coding errors
Perform coding corrections
Perform billing corrections
Perform charge reconciliations
Research new diagnoses
Research new procedures
Maintain compliance with coding guidelines
Maintain compliance with regulations
Communicate with physicians
Communicate with parents
Communicate with third-party payors
Assist customers with billing questions
Assist customers with coding questions
Assist staff with billing questions
Assist staff with coding questions
Conduct billing audits
Conduct coding audits
Identify missed opportunities
Recommend quality improvements
How You'll Work.
Team & Collaboration
Communicate with physicians; Communicate with parents; Communicate with third-party payors; Assist customers and staff
Communication Scope
Communicate with physicians; Communicate with parents; Communicate with third-party payors; Assist customers and staff with billing and coding questions
Full Job Description
**Overview:** Schedule: M-F (Day Shift) On-site during probation period until cleared to work remote - employee must reside within Central Ohio area **Job Description Summary:** Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations. **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. 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. **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 ofcoding 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 **
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