Senior Billing Liaison & CPC Coder for Charge Capture

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

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.