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Practice Coding Specialist Senior Peds Neonatology Job in Cleveland, Ohio US

Job Summary

University Hospitals Health System
Cleveland, OH
Government and Military
Job Type
Full Time
Years of Experience
2+ to 5 Years
Job Reference Code

Practice Coding Specialist Senior Peds Neonatology

About the Job


Responsible for submitting, resolving coding denials, edits for mod to high complexity claims.  Current with governmental, third party billing, followup and appeal req for compliant billing and followup of both inpt and outpt claims for facilities, physician entities including int and ext policy req.  Reviews, corrects coding rej from payers and edits.  Code or correct CPT or ICD10 from written doc.  May abstract CPT HCPCS codes from provider doc.  Perform computer assisted coding functions.  Applies coding rules and payer guidelines.  May code E M serv.  Assigned to complicated subspecialties.  Provides coding ed feedback to physicians and depts.  Responds to requests from mgmt, staff, physicians timely.  Maintains pt and physician confidentiality.  Follows dept policies and procedures to ensure accurate, timely claim resolution.  Eff communicates telephone, form letters, email, or int correspondence to resolve pt inquiries and ins issues.  Participates in team meetings.  Utilizes work lists to review, analyze acct balances in order to collect pmt for med serv rendered.  Acts as a liaison with int and ext customers providing asst in claims, receivables resolution.  Performs follow up with ins co to ensure approp payment, resolve denials, correct claims, and appeal claims.  Contacts pts, guarantors to secure necessary billing info.  Documents accts with clear and concise verbiage in accordance with dept procedures.  Responds to correspondence and inquiries received.  Primary go to person for questions from jr level staff.  Perform training and creates process doc.  Assists mgmt with special projects. In absence of mgmt, may lead work flow efforts.  Leads payer and dept meetings as needed.  Responsible for providing feedback suggestions and process improvement recommendations to mgmt.  Meets and exceeds team productivity and quality standards.  Functions independently to analyze and resolve claims.  Creates Excel spreadsheets to analyze and resolve claims


High School Equivalent / GED 3 plus years of experience   Coding Certification within 12 months.  Knowledge of procedural and ICD 10 coding,med billing terminology.  Experience in medical billing software.

Equal Opportunity Employer – minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

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