What are the responsibilities and job description for the Coding Specialist position at Nationwide Children's Hospital?
Overview
The Coding Specialist is responsible for analysis and review of professional medical records; accurate coding and abstracting professional medical records for the purpose of reimbursement, research and compliance with federal regulations by diagnosis, assignment of ICD-10 and CPT codes for inpatient and outpatient medical services as indicated. Also responsible for researching newly identified diagnoses and/or procedures for code assignments.Why Nationwide Children's Hospital?
The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose.
Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.
We’re 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.
Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.
Nationwide Children’s Hospital. A Place to Be Proud.
Responsibilities
• Utilizing Encoder Pro system, CPT, and ICD-10-CM coding books assigns CPT and ICD-10-CM codes to inpatient and outpatient professional medical services or charges.• Maintains updated knowledge of coding requirements; including continuing education and certification renewal.• Reviews and performs necessary coding and billing corrections for all insurance coding and medical necessity denials.• Assists the billing staff with coding questions.• Consistently meets the department specific standards for quantity standard.• Consistently codes 95% accuracy rate or better (quality standard).• Assists physicians by identifying the necessary ranges of disease or procedure CPT codes.Qualifications
Education: High school diploma or equivalent
Certifications: CPC or CCS-P Certification required
Skills:• Good working knowledge of medical terminology and anatomy.• Must possess high degree of professional competency for coding, accuracy in all details, and must possess a self-directed work ethic.• Strong problem-solving, collaboration and interpersonal skills.• Ability to work effectively and professionally under pressure.• Ability to maintain and establish strong working relationships with physicians and support staff.• Intermediary skills in MS Office: Word, Excel and Outlook required.• Previous Professional coding experience (5 years) with documented education in anatomy, physiology, and medical terminology required. Pediatric coding and billing a plus.• Ability to handle multiple tasks and priorities and deadlines.• Analytical and organizational skills a must for analyzing clinical information and data.• Effective communication and interpersonal skills required with ability to work with physicians and other caregivers regarding coding issues.
Experience: Previous professional coding experience (5 years) with documented education in anatomy, physiology, and medical terminology required. Pediatric coding and billing a plus.
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 individual 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 his/her supervision. EOE M/F/Disability/Vet