Billing Liaison Sr/Coder

The Nemours Foundation; Wilmington (DE); On-site; USD 70,000 - 100,000; Full time

Job summary

The Nemours Foundation is seeking a Senior Billing Liaison to ensure 100% charge capture by reviewing physician notes and operative reports, coding services with CPT and ICD-10-CM codes, and managing EPIC Charge Review workflows. You will liaise between providers and the billing office and participate in ongoing coding education.

Applicants should have AAPC certification and several years of coding experience, with a preference for surgical or cardiology coding, and a high school diploma as a

Qualifications

• AAPC certification required.
• 5 years of coding experience preferred; coding in surgical and/or cardiology coding also preferred.
• High school diploma required.

Responsibilities

• Review work queues and billing forms for correct coding; assign CPT, ICD-10 codes and modifiers as needed.
• Create reports to analyze division revenue, claim follow up and denials; provide feedback for improvement.
• Attend monthly meetings with division heads or physicians; provide billing-related reports.
• Act as a coding resource to divisions and other liaisons.
• Maintain CPC certification and attend coding in-services and seminars.
• Track third party payment issues affecting division revenues and report trends to manager.
• Communicate with Central Business Office on claim issues.
• Advise divisions of CPT/ICD-10 code changes and reimbursement impacts.
• Communicate with Coding Integrity on coding issues.
• Remain abreast of CPT, ICD-10, HCPCS and related requirements for clean claim submission.

Skills

Charge capture

Coding accuracy

Payer compliance

Team communication

Training and education

Education

AAPC Certification

High school diploma

Tools

EPIC

CPT/ICD-10 references

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