Certified Coder

🕒 July 13

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $23 - $35 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Ohio State University Physicians

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Healthcare • Non-profit

Ohio State University Physicians is the medical group managing The Ohio State University Wexner Medical Center’s faculty practices, aimed at providing high-quality, patient-focused care. They operate numerous outpatient care locations across central Ohio, offering primary and specialty care services while also delivering a range of management and consulting services to healthcare organizations. Their commitment to teamwork, diversity, and employee development fosters an environment dedicated to improving health outcomes in the community.

📋 Description

• Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers. • Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements. • Provides training and education on coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis. • Interacts with patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation as well as communication on coding and compliance issues. • Performs audits and analyses of payer denials; provides information on compliance issues arising from audits and formulates recommendations to providers regarding improved documentation practices to avoid future claims denials. • Researches inquiries from providers and patients about fees, reimbursements, and denials. • Monitors data sources to ensure receipt and analysis of all charges. • Updates encounter forms/super bills on an annual basis with respect to diagnostic, procedural and supply code changes.

🎯 Requirements

• High School diploma or GED • Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years’ experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience. • Knowledge of CPT, HCPCS procedure and professional supply codes and ICD-10-CM (or current version) diagnosis codes used for billing services provided by physicians and licensed non-physician providers. • Knowledge of third party fee profiles and reimbursement requirements. • Knowledge of current and developing issues and trends in medical coding procedures and requirements. • Analytical ability to gather and interpret data and develop, recommends, and implement solutions. • Ability to interact and communicate with individuals at all levels of the organization.

🏖️ Benefits

• medical • dental • vision • health reimbursement accounts • flexible spending accounts • retirement • employee assistance program • paid time off • holidays • wellness program