Senior Billing Liaison & Coding Specialist

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

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