Billing Liaison Sr/Coder

Nemours Children's Health; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Nemours Children's Health is hiring a Senior Billing Liaison/Coder for a remote, nationwide role. You will review physician notes and operative reports to ensure accurate CPT and ICD-10 coding, monitor EPIC Charge Review work queues, and report on accounts receivable trends.

Regular communication with providers and the Central Business Office is essential. Ideal candidates hold an AAPC certification, have up to 5 years coding experience, and are proficient in CPT/ICD-10 coding.

Qualifications

• AAPC Certification required
• Up to 5 years coding experience preferred
• High school diploma required

Responsibilities

• Review work queues and billing forms; assign CPT/ICD-10 codes and modifiers
• Create reports to analyze division revenue, follow-up and denials
• Attend monthly meetings with division heads or physicians; provide billing reports
• Serve as coding resource to divisions and other liaisons
• Maintain CPC certification and attend coding in-services
• Track third-party payment issues and report trends to manager
• Communicate with Central Business Office on claim issues
• Advise divisions on CPT/ICD-10 changes and reimbursement impact
• Coordinate with Coding Integrity on coding issues
• Stay updated on CPT/ICD-10/HCPCS requirements for clean claims

Skills

Charge capture accuracy

CPT/ICD-10 coding

Modifiers assignment

Revenue analysis

Communication with divisions

Education

High school diploma

AAPC Certification

Tools

EPIC

Job description

Remote

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
• Up to 5 years of coding experience preferred. Coding in surgical and/or cardiology coding also preferred.
• High school diploma required