Billing Liaison Sr/Coder

Nemours Children's Health; Wilmington (DE); On-site; USD 70,000 - 100,000; Full time

Job summary

Nemours Children's Health in Wilmington, DE is seeking a Senior Billing Liaison/Senior Coder to ensure 100% charge capture by reviewing physician notes and operative reports and correctly coding using CPT, ICD-10-CM, and modifiers. Proficiency with EPIC Charge Review queues is essential.

This role serves as a coding resource between providers and the billing office, requires CPC certification, and 5 years coding experience; high school diploma accepted.

Qualifications

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

Responsibilities

• 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.
• Create reports to assist in the analysis of the division's revenue, claim follow up and claim denials, provide feedback and make suggestions for improvement.
• Attend scheduled meetings with division heads or physicians on a monthly basis; provide reports regarding billing related operations.
• Act as a coding resource to assigned divisions and to other liaisons.
• Maintain CPC certification and attend relevant coding in‑services and seminars.
• Track all third‑party payment issues that affect division revenues and report trends to manager.
• Communicate regularly with the Central Business Office on claim issues.
• Advise divisions/departments of changes to CPT and ICD‑10 codes and resulting reimbursement issues.
• Communicate with the Coding Integrity department on coding issues.
• Remain abreast and adhere to insurance company, CPT, ICD‑10, HCPCS, Federal and State requirements for correct coding and clean claim submission.

Skills

Coding experience

Education

AAPC Certification

High school diploma

Job description

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 coding 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

• 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.
• 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.
• Attend scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations.
• Act as a coding resource to assigned divisions and to other liaisons.
• Maintain CPC certification and attend relevant coding in‑services and seminars.
• Track all third‑party payment issues that affect division revenues and report trends to manager.
• Communicate regularly with the Central Business Office on claim issues.
• Advise divisions/departments of changes to CPT and ICD‑10 codes and resulting reimbursement issues.
• Communicate with the Coding Integrity department on coding issues.
• 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.