Planned Parenthood of Greater Ohio · 11 hours ago
Revenue Cycle Coding Specialist
Planned Parenthood of Greater Ohio is dedicated to providing equitable and high-quality care in an inclusive environment. The Revenue Cycle Coding Specialist ensures accurate medical coding, billing, and accounts receivable resolution, while collaborating across departments to strengthen Revenue Cycle processes and support organizational goals.
Hospital & Health Care
Responsibilities
Conduct audits and coding reviews to ensure all documentation is accurate and precise
Assign and sequence CPT, HCPCS, and ICD-10-CM codes accurately based on clinical documentation
Review medical records to ensure documentation supports billed services and coding accuracy
Correct coding errors and prepare claim resubmissions and appeals related to coding denials
Submit electronic claims as scheduled and follow up on clearinghouse and payer rejections
Resolve assigned coding-related account balances, including debit and credit balances
Maintain working knowledge of Medicare, Medicaid, Managed Care, and Commercial payer coding requirements
Communicate with providers and clinical staff to clarify documentation and coding questions
Provide encounter-specific coding education and feedback, including annual E/M guideline updates
Respond to coding inquiries from Health Center and Contact Center staff within scope of responsibility
Participate in coding audits and reviews as assigned
Implement corrective actions related to audit findings and documentation improvement
Maintain accurate documentation in electronic systems and adhere to all HIPAA and regulatory requirements
Demonstrate professionalism, teamwork, and effective communication in all interactions
Participate in cross-training and continuous improvement efforts within the Revenue Cycle
Comply with all agency policies, procedures, and applicable laws and regulations
Qualification
Required
Must have strong interpersonal and communication skills: both verbal and written; and ability to relate persons of diverse backgrounds
Ability to handle highly confidential and sensitive matters and documents
Ability to define problems, collect data, establish facts and draw valid conclusions
Ability to interpret and extensive variety of technical instruction in mathematical or diagram form and deal with several abstract and concrete variables
Ability to priorities and handle multiple projects
Ability to demonstrate initiative and to work with minimal direction
Ability to perform duties in a manner that exhibits commitment to providing quality service and continuous improvement
Strong General Technology Skills; proficient utilization of Excel, Word, and Windows environment, Epic or other practice management systems experience a plus
Excellent typing and 10-key speed and accuracy
High school diploma or G.E.D
Minimum 2 Years' Direct Experience With Medical Coding
Minimum 2 years' direct experience billing and coding in medical office practice
Current Coding certification (CPC) is required
Preferred
Bachelor's degree preferred
Prefer experience in credentialing providers in a medical office practice
Company
Planned Parenthood of Greater Ohio
Planned Parenthood of Greater Ohio works for healthy bodies and healthy communities by maintaining 15 health center locations in communities throughout Ohio.