Overview
Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations.
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 results and recommends quality improvements.
Requirements & Qualifications
Education
- As required by listed licensure and/or certification requirement.
Certifications
- RHIT, RHIA, CPC, CCS, CCS-P, or COC required.
Experience
- Two years of coding experience required.
- Three years of computer experience in a data processing capacity required.
Additional Requirements
- Ability to multi-task within a demanding environment.
Location
Columbus, Ohio, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago
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