Coding Specialist II

Nemours; Pensacola (FL); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a Coding Specialist II to join their dedicated team. In this role, you will ensure accurate coding of diagnoses and procedures, utilizing CPT, ICD-10, and HCPCS codes. You'll be responsible for charge entry and collaborating with various teams to maintain high standards of patient care and satisfaction. This full-time position offers the opportunity to work in a supportive environment focused on pediatric health, where your contributions will directly impact the lives of children and their families. If you are passionate about coding and want to be part of a mission-driven organization, this is the perfect opportunity for you.

Qualifications

• 3-5 years of experience in coding with CPT, ICD-10, and HCPCS.
• CPC and/or CCS-P certification required.

Responsibilities

• Code diagnosis and procedure codes accurately for admissions and procedures.
• Prepare and enter charges into the Professional Billing applications.

Skills

CPT Coding

ICD-10 Coding

HCPCS Coding

Data Entry

Customer Service

Education

High School Diploma

CPC Certification

CCS-P Certification

Tools

Epic EMR

Professional Billing Applications

Job description

Nemours is seeking a Coding Specialist II to join our team.

Primary Functions

1. Code correctly all applicable diagnosis, procedure codes, and modifiers related to the admission, observation or procedure utilizing appropriate CPT, ICD-10, and HCPCS codes.
2. Review Charges in Epic EMR and prepare charges for submission. Include complete information regarding diagnosis, service/procedure codes, and any additional information needed for reimbursement.
3. Manually enter charges from partner hospitals as needed.
4. Ensure charge capture by reviewing census and/or O.R. schedule(s) daily.
5. Act as a coding resource to assigned divisions.

Essential Functions

1. Code correctly all applicable diagnosis, procedure codes, and modifiers related to the admission, observation or procedure utilizing appropriate CPT, ICD-10, and HCPCS codes.
2. Prepare charges for data entry, including complete information regarding diagnosis, service/procedure codes, and any additional information needed for reimbursement.
3. Ensure charge capture by reviewing Census and O.R. schedule(s) daily.
4. Act as a coding resource to assigned divisions.
5. Keep abreast of all current CMS and insurance plan coding requirements.
6. Register off-site inpatient and outpatient demographics as needed by accurately entering patient demographic, guarantor, and coverage information into EPIC.
7. Data entry of charges into the Professional Billing application(s) following Charge Entry workflow and Standard Business Practices for reconciliation of charge batches.
8. Configure and run Charge Entry reports daily.
9. Proficient in Professional Billing applications.
10. Follow data entry ground rules and standard business practices, and know where to locate both hard copy and electronic resources.
11. Collaborate with the DAG team to obtain necessary coverages and authorizations.
12. Demonstrate excellent customer service, promoting patient, staff, and customer satisfaction, reflecting Nemours' mission, vision, and values.
13. Utilize Nemours Intranet and Managed Care Manual effectively.
14. Stay updated on insurance and system changes/updates.
15. Maintain strict confidentiality.
16. Support and assist other Coding Specialists as needed.
17. Maintain annual/new hire training requirements.
18. Perform other duties as assigned by leadership.

Qualifications

High School Diploma

CPC and/or CCS-P certification required

3-5 years of experience. Must meet annual continuing education requirements to maintain certification.

About Us

Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding children’s hospitals — Nemours Children’s Hospital, Delaware and Florida. Our pediatric network includes 80 primary, urgent, and specialty care practices and over 40 hospitalists serving 19 affiliated hospitals. Our annual revenues exceed $1.7 billion, derived from patient services, contributions from the DuPont Trust, and other income.

As a leading pediatric health system, we focus on prevention, clinical excellence, research, advocacy, and education to ensure healthier futures for children. We are committed to inclusion and belonging, providing culturally relevant care, reducing health disparities, and fostering an inclusive environment for colleagues, patients, and families.

Learn more about Nemours Children’s at www.nemours.org.

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Job Info

• Job Identification: 15767
• Job Category: Non-Clinical Support Staff
• Posting Date: 04/29/2025, 03:08 PM
• Degree Level: High School Graduate
• Job Schedule: Full time
• Locations: 8331 N Davis Highway, Pensacola, FL, 32514, US (Remote)