Certified Medical Coding & Billing Specialist

Nemours Children's Health; Orlando (FL); On-site; USD 52,000 - 70,000; Full time

Job summary

Nemours Children's Health is seeking a Coding and Billing Specialist in Orlando, FL to code diagnoses, procedures, and social determinant codes per AHA and CPT guidelines, impacting hospital billing and revenues.

The role requires strong knowledge of ICD-10-CM, CPT-4, modifiers, and documentation improvement to support level of service and risk adjustment. Certification maintenance and payer-specific trends will be part of daily responsibilities.

Qualifications

• Associate’s degree required.
• Medical Terminology, Anatomy and Physiology knowledge required.
• CPC, CCS, RHIT, RHIA, or COC certification; CRC preferred.

Responsibilities

• Comprehend medical record documentation to accurately assign codes for concurrent and discharged accounts across multiple specialties.
• Maintain production and quality standards monthly.
• Apply code sequencing for grouper-related payers with attention to charge capture and accuracy.

Skills

Medical terminology

Education

Associate’s degree

Medical Terminology, Anatomy & Physiology

Job description

Nemours Children's Health is seeking a Coding and Billing Specialist in Orlando, FL to code diagnoses, procedures, and social determinant codes per AHA and CPT guidelines, impacting hospital billing and revenues.

The role requires strong knowledge of ICD-10-CM, CPT-4, modifiers, and documentation improvement to support level of service and risk adjustment. Certification maintenance and payer-specific trends will be part of daily responsibilities.