Billing Liaison Sr/Coder

Nemours in; Wilmington (DE); On-site; USD 70,000 - 90,000; Full time

Job summary

Nemours Children's Health is seeking a Senior Billing Liaison to ensure 100% charge capture by reviewing physician notes and operative reports and coding services with CPT, ICD-10-CM codes and modifiers. Daily EPIC Charge Review work queues must be reviewed; analyze payer compliance and billing processes.

Maintain CPC certification and participate in coding training to stay current. The ideal candidate will have CPC certification, 5 years of coding experience (surgical/cardiology preferred), and

Qualifications

• AAPC certification is required.
• 5 years of coding experience preferred; surgical and/or cardiology coding experience is also preferred.
• High school diploma is 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, claims follow-up and denials; provide feedback and improvement ideas.
• Attend monthly meetings with division heads or physicians; provide billing operation reports.
• Act as a coding resource to assigned 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 the manager.
• Communicate regularly with the Central Business Office on claim issues.
• Advise divisions of CPT and ICD-10 code changes and reimbursement implications.
• Communicate with Coding Integrity department on coding issues.
• Remain compliant with insurance, CPT, ICD-10, HCPCS, and state/federal requirements for clean claim submission.

Education

AAPC Certification

High school diploma

Job description

Billing Liaison Sr/Coder (Finance)

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

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 .