Nemours Foundation logo

Billing Liaison Sr/Coder

Nemours FoundationWilmington, DE

Overview

Schedule
Full-time
Education
Medical Coding (CCA, CCS, CCS-P, CPC)
Career level
Senior-level
Remote
On-site
Benefits
Career Development
Tuition/Education Assistance

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 code 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:

1.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.

2.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

3.Attend scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations

4.Act as a coding resource to assigned divisions and to other liaisons

5.Maintain CPC certification and attend relevant coding in-services and seminars.

6.Track all third party payment issues that affect division revenues and report trends to manager

  1. Communicate regularly with the Central Business Office on claim issues

8.Advise divisions/departments of changes to CPT and ICD-10 codes and resulting reimbursement issues

  1. Communicate with the Coding Integrity department on coding issues.

10.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

#LI-AE1

Automate your job search with Sonara.

Submit 10x as many applications with less effort than one manual application.

pay-wall

FAQs About Billing Liaison Sr/Coder Jobs at Nemours Foundation

What is the work location for this position at Nemours Foundation?
This job at Nemours Foundation is located in Wilmington, DE, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Nemours Foundation?
Employer has not shared pay details for this role.
What employment applies to this position at Nemours Foundation?
Nemours Foundation lists this role as a Full-time position.
What experience level is required for this role at Nemours Foundation?
Nemours Foundation is looking for a candidate with "Senior-level" experience level.
What education level is required for this job?
The education requirement for this position is Medical Coding (CCA, CCS, CCS-P, CPC). Candidates with relevant qualifications or equivalent experience may also be considered.
What benefits are offered by Nemours Foundation for this role?
Nemours Foundation offers following benefits: Career Development and Tuition/Education Assistance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Nemours Foundation?
You can apply for this role at Nemours Foundation either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.