Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.
To treat every child as we would our own
To treat others as they would like to be treated
To turn no child away for any reason
Prior to the start date, full COVID-19 vaccination is required for employment. Full vaccination is defined as 14 days after the last received vaccination. Boosters are excluded from this requirement.
We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.
Remote position, could change per business needs. Must reside in OH.
Monday-Friday, Day hours
The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements to mitigate future denials. Working closely alongside the Physician Advisor, the Denial Coding Specialist liaises between the Revenue Recovery team and providers, resolving queries for missing documentation and promoting departmental awareness of coding best practices. This position reports to the Revenue Recovery Supervisor.
Performs retrospective account reviews and resolves coding denials accordingly.
Analyzes coding-related denials (e.g., bundling issues and inappropriate CPT/diagnoses) to identify trends and root causes
Proactively maintains current knowledge of applicable regulations, requirements, changes, and best practices by following industry sources (e.g., Centers for Medicare & Medicaid Services, American Association of Professional Coders, and professional journals)
Reviews EPIC work queues daily for Denial management and makes necessary and appropriate coding changes based on medical documentation for both professional and technical charge revenue.
Follows up with providers to resolve outstanding queries for additional documentation or diagnosis information
Coordinates and/or completes appeals as applicable with payors.
Develops suggestions for coding and documentation process improvements, based on denial analysis and industry coding guidelines
Extracts data into clear reports to revenue recover and revenue cycle leadership, physician advisor, and providers
Partners with Revenue Cycle team leaders, physicians, and providers to develop and implement process improvements
Provides regular feedback and ad-hoc education to revenue recovery staff and providers to promote departmental knowledge of appropriate coding practices
Other duties as required.
Experience in CPT and ICD coding is required.
Experience working with all levels within an organization is required.
Experience working in an Electronic Medical Record system preferred
Experience in healthcare is preferred.
Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
Education: High School Diploma or equivalent is required Bachelor's degree is preferred.
Certification: AAPC or AHIMA Coding Certification is required.
Years of relevant experience: 0 to 2 years is preferred.
Years of experience supervising: None.
Essential (minimum one as applicable):
American Academy of Professional Coders
American Health Information Management Association
Certified Provider Credentialing Specialist
Certified Coding Specialist
Registered Health Information Technician
Certified Coding Associate
Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.
EEO is the law, please click/copy paste the link below to learn more: