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Coding Reviewer Jobs Near Me

Varsity Tutors

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Coding Specialist

Columbus, OH • Remote

Nationwide Children's Hospital
Hospitals • 10K+ employees
Learn more about Nationwide Children's Hospitalexternal

Full-time

Re-posted 8 days ago

Nationwide Children's Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 131 frontline employees who took The Breakroom Quiz

543rd of 1,066 rated hospitals

Job description

Overview:


Schedule: M-F (Day Shift)

On-site during probation period until cleared to work remote - employee must reside in Ohio.


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


Additional Physical Requirements performed but not listed above:

  • Ability to multi-task within a demanding environment.




"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

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About Nationwide Children's Hospital

Sourced by ZipRecruiter

Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

Year founded

1892

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