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Nemours

Billing Liaison Sr/Coder

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What they do

A Medical Coder organizes and reviews patient medical records and assigns codes for each diagnosis and treatment. Prepares coded information for use by health care insurers or for research. May retrieve information for clinicians and billing offices. Works in healthcare facilities.

$66,061 / year median in Delaware

-10% projected decline

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Job Description

Billing Liaison Sr/Coder at Nemours Billing Liaison Sr/Coder at Nemours in Wilmington, Delaware Posted in 5 days ago.
Type:
Full-Time Job Description:
Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate
CPT, ICD-10-CM
codes and modifiers. Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office. Participation in coding training and education is also required. Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia.
Responsibilities:
1.Review work queues and billing forms for correct coding and work with providers to eliminate errors. Assign correct
CPT, ICD-10
codes and modifiers as needed. 2.Create reports to assist in the analysis of their assigned division's revenue, claim follow up and claim denials, provide feedback and make suggestions for improvement 3.Attend scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations 4.Act as a coding resource to assigned divisions and to other liaisons 5.Maintain CPC certification and attend relevant coding in-services and seminars. 6.Track all third party payment issues that affect division revenues and report trends to manager 7. Communicate regularly with the Central Business Office on claim issues 8.Advise divisions/departments of changes to CPT and ICD-10 codes and resulting reimbursement issues 9. Communicate with the Coding Integrity department on coding issues. 10.Remain abreast and adhere to insurance company, CPT, ICD-10, HCPCS, Federal and State requirements for correct coding and clean claim submission
Qualifications:
AAPC Certification Required 5 years of coding experience preferred. Coding in surgical and/or cardiology coding also preferred. High school diploma required #LI-AE1 About Us Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued. Learn more at Nemours.org .

Benefits

  • Dental Insurance